| NPI | 1346391109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA WEISMAN Practice Manager 203-374-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-05-15 |