| NPI | 1801322912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN A BRIER President 203-773-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 33597) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 31413) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 28963) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 18630) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 38397) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 1672) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |