| NPI | 1639708720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN S LEVINE Authorized Official /Owner 203-431-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-09-16 |