| NPI | 1831166305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN FICA President 203-753-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 020699) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 020699) |
| 207R00000X Internal Medicine (Licence: CT 040407) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |