| NPI | 1760238489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN A. BAKER Do/Owner 203-371-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-07-09 |