| NPI | 1154614543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBAN ARIEL SICA Medical Director 203-799-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 026453) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2017-03-07 |