NPI | 1518051002 |
---|---|
Entity Type | Organization |
Authorized Contact | AZIM SALIM FAHMI Director Of Operations 203-795-3617 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208D00000X General Practice |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2013-08-13 |