| NPI | 1568689875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL TURLIS Billing Representative 203-269-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 027029) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |