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 |