| NPI | 1548142102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHNSON Sole Member/Authorized Offiical 203-461-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |