| NPI | 1578095634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOBEY JACOB Owner/Pediatrician 203-932-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 049082) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |