| NPI | 1699499517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ASTRACHAN Vice President 203-376-9388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-12-01 |