| NPI | 1194026476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD WABLE CEO 203-709-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |