| NPI | 1427793629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARUMUNI DESILVA Md 203-919-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-11-16 |