| NPI | 1558494575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MASON Billing Manager 203-288-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-02-22 |