| NPI | 1669075610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SIMON Md, CEO 203-488-7228 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RR0500X Internal Medicine Rheumatology | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-03-14 |