| NPI | 1215384672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CRAMER Surgical Physician Assistant 203-623-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |