| NPI | 1275897340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS V RALABATE Member 203-633-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |