| NPI | 1255462701 |
|---|---|
| Former Legal Business Name | LLC |
| Entity Type | Organization |
| Authorized Contact | JAMIRA GALARZA Office Manager 203-269-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 038503) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |