| NPI | 1235701335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FITZGERALD Office Manager 203-882-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |