| NPI | 1750742102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MADELEINE HYDE Owner 203-502-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 001884) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2020-07-27 |