| NPI | 1164545810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WATSON Office Mnager 203-735-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RX0202X Internal Medicine Medical Oncology | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |