| NPI | 1558557819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN G FITZGERALD Practice Administrator 203-789-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 029613) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |