| NPI | 1730209453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO E. ISGUT Owner 203-426-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 016010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 036795) |
| 208000000X Pediatrics (Licence: CT 016010) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002237) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-10-05 |