| NPI | 1245503705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LJUDMIL KLJUSEV Md 203-693-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CT 039302) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-15 |