| NPI | 1275704702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MARIE HENNESSY Billing 203-359-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 020144) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |