| NPI | 1619186574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A. WALDMAN President 203-481-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-05-07 |