| NPI | 1316516495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MURRAY Project Manager 203-858-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 133V00000X Dietitian, Registered | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 207W00000X Ophthalmology | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-12-21 |