| NPI | 1417955923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURUDDHA WALALIYADDA Managing Partner 203-932-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 016636) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CT 016797) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2014-01-21 |