| NPI | 1376011551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVEL CRISTINA DE FREITAS Owner 203-300-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-03-28 |