| NPI | 1356670731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RODIS Authorized Official 203-372-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |