| NPI | 1285813311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA MOIENAFSHARI Owner 203-265-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 039581) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2012-11-02 |