| NPI | 1831464643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISITNE MARIE DALTON Office Manager 203-775-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 031878) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-29 |