| NPI | 1588059620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASSER THIARA Owner 203-673-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101250955) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |