| NPI | 1497935886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JACOBSON President 203-869-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 22707) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |