| NPI | 1376103762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SCHUSSSHEIM Owner 203-722-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |