| NPI | 1568649895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN HUMES Owner 203-838-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 015503) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |