NPI | 1851827000 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA COLLINS-BAINE President 203-918-0481 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 039661) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2017-05-10 |