| NPI | 1255750758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MURPHY Medical Director 203-517-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |