| NPI | 1851411169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY F. BAINER Administrative Manager 203-481-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-09-11 |