| NPI | 1710991617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN KAROL Medical Director 203-696-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 2085B0100X Radiology Body Imaging | |
| 2085N0700X Radiology Neuroradiology | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-05-15 |