| NPI | 1467527580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALOK BHARGAVA Owner 203-755-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 030847) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: CT 030847) |
| 208000000X Pediatrics (Licence: CT 030847) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 003467) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003467) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004478) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 004478) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2013-09-30 |