| NPI | 1679983209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BORTOT Office Manager 203-661-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |