| NPI | 1487847570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K. MAIOCCO Practice Administrator 203-374-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 013652) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |