NPI | 1275718777 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD RIPPEL President, CEO 203-287-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 033256) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005600) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2020-10-11 |