NPI | 1346558350 |
---|---|
Other Name | VISWA NATHAN MD |
Entity Type | Organization |
Authorized Contact | VISWA NATHAN Owner 203-946-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 022726) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2015-06-09 |