NPI | 1780702852 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN PERLIN Physician 203-838-7205 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 131163) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 030601) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2022-03-04 |