| NPI | 1487058707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BREW Owner/Provider 203-244-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 005758) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-02-08 |