| NPI | 1497750798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER P SWENSON Physician 203-245-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006159) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-09-16 |