| NPI | 1730702705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WANG Practice Owner 203-701-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |