| NPI | 1598863847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HUDSON Physician 203-790-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-02 |