| NPI | 1609186816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. BENJAMIN GARDNER Director Of Health Services 203-697-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |