| 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 |