| NPI | 1588778070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOAR Practice Admin 203-327-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5419) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-09-25 |