| NPI | 1154816023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANNE PASSALACQUA Physician 203-893-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CT CT035850) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |