| NPI | 1740327543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA ANN CORRIERO Member 203-740-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 001466) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |