NPI | 1760251888 |
---|---|
Entity Type | Organization |
Authorized Contact | JIN LEE CEO 203-233-0116 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
207RR0500X Internal Medicine, Rheumatology | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-12-29 |
Last Update Date | 2023-12-29 |