| NPI | 1275755902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON TAN CHAO President 203-402-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 032857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 032857) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 032857) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |