| NPI | 1780936047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B FANNING Doctor/President 203-239-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 008817) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-02-15 |