| NPI | 1538458310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH A. REILLY President 203-415-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 000590) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |