| NPI | 1487862801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJWALA P PURANIK Member LLC 203-237-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |