NPI | 1497970826 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES P RALABATE President 203-378-3696 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 024731) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 024731) |
363L00000X Nurse Practitioner (Licence: CT 001515) | |
363L00000X Nurse Practitioner (Licence: CT 002345) | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |