| NPI | 1811289754 |
|---|---|
| Former Legal Business Name | VETERANS AFFAIRS |
| Entity Type | Organization |
| Authorized Contact | ROBERT ROHRBAUGH Residency Program Director 203-737-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 137619823) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |