NPI | 1700674587 |
---|---|
Entity Type | Organization |
Authorized Contact | IFTIKHAR ALI Medical Director 203-733-4046 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-07-21 |