| NPI | 1821411828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH ROBERT ROHATSCH CEO 203-885-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |