| NPI | 1831185248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ROY Office Manager 203-743-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 208000000X Pediatrics | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-07-21 |