| NPI | 1508812561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DEE Owner 203-949-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-08-13 |