NPI | 1720228455 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE S LEVIN Owner/Physician 203-579-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 20625) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |