| NPI | 1760563746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN REZNIKOFF Managing Partner 203-255-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-04-16 |