| NPI | 1235299710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARK EVANS Physician 203-321-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 029082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 002776) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |