| NPI | 1548625569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE NOBLE Md 203-363-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CT 041814) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-08-09 |