| NPI | 1497301998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAVELU DHARMARAJ Accounts Manager 203-648-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 208000000X Pediatrics | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |