| NPI | 1780493569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SMITH Revenue Cycle Manager 203-671-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-02-25 |