| NPI | 1730261389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRI A SCHWENTKE Business Manager 203-453-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT S82621) |
| 363AM0700X Physician Assistant, Medical (Licence: CT P33210) | |
| 363L00000X Nurse Practitioner (Licence: CT S81603) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-12-07 |