| NPI | 1144354002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ROGER VISCARELLO President 203-978-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 028952) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CT 028952) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-11-10 |