| NPI | 1841495777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE C. SHAW Office Manager 203-562-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 018088) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |