| NPI | 1174101828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE CZERNIK Managing Member 203-258-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-09-17 |