NPI | 1255850020 |
---|---|
Entity Type | Organization |
Authorized Contact | IVI NAMIK KASIMATI Physician 203-668-8479 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242854) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2017-09-13 |