| NPI | 1588983415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVESH R PATEL Physician/Owner 203-645-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 040593) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: CT 040593) |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2024-09-12 |