| NPI | 1568594554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A FLORES Medical Director 203-268-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 038698) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-03-04 |