NPI | 1750432472 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M CHESS CEO Medical Director 203-925-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-02-01 |