| NPI | 1356797070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY HUNTER VP 203-901-2493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-12-14 |