| NPI | 1487735924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNINA MARIA MESA Manager 203-847-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 021922) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001286) |
| 207P00000X Emergency Medicine (Licence: CT 021922) | |
| 207Q00000X Family Medicine (Licence: CT 015532) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-05-27 |