| NPI | 1548642283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWAIS MALIK Medical Director 203-243-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 049851) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 049851) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |