| NPI | 1407013196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO MASCARDO Owner/Operator 203-431-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 020160) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |