NPI | 1639739634 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY J DEE President 203-949-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2019-06-20 |
Last Update Date | 2023-10-18 |