| NPI | 1356361315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED F TILDEN Owner 203-694-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT n/a) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-04-09 |