| NPI | 1154349595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH STOVALL Office Manager 203-371-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-19 |