NPI | 1831477736 |
---|---|
Entity Type | Organization |
Authorized Contact | ELVIN LAVERN GRIFFITH Physician/Medical Director 203-859-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 048211) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |