NPI | 1134509615 |
---|---|
Entity Type | Organization |
Authorized Contact | OFER SAGIV President/Owner 860-272-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 047333) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 001816) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2016-12-14 |