| NPI | 1164895314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE PENDARVIS Medical Assistnat 203-575-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 054319) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |