| NPI | 1568961274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAFSA M NAWAZ Owner 203-691-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-02-14 |