| NPI | 1841498839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ETKIN Owner 203-932-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 01775) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |