NPI | 1578518999 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY J. DEE Owner 203-949-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2019-08-13 |