| NPI | 1366574584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T REYNOLDS Principal 203-752-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: CT 039093) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |