| NPI | 1760679054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUBEN Owner 203-372-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 041464) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-09-29 |