| NPI | 1215958772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L BAILEY Office Administrator 203-483-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 037255) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: CT 000561) |
| 111N00000X Chiropractor (Licence: CT 148) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 002765) | |
| 111N00000X Chiropractor (Licence: CT 001614) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 037255) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 037255) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-12-22 |