| NPI | 1225170418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FREDERICK STRONG Owner 203-256-9249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 040670) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |