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 |