| NPI | 1255999405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ WADHWANI Vice President 203-567-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |