| NPI | 1780768093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH OLIVER Member 203-932-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 065510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042530) |
| 208000000X Pediatrics (Licence: CT 042530) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |