| NPI | 1578205530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIYUSH GUPTA Owner 203-685-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-03-07 |