NPI | 1710242037 |
---|---|
Former Legal Business Name | MAYWEST MED LLC |
Entity Type | Organization |
Authorized Contact | MAY AWKAL CEO 860-881-4161 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A114911) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2017-01-17 |