| NPI | 1508004714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S KING Owner 203-459-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 030566) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 030566) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2012-08-02 |