| NPI | 1790893709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE COUTURE Office Manager 203-867-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 027186) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 028115) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 037730) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-03-28 |