| NPI | 1861473787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MATSON HALLORAN Practice Administrator 203-787-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2025-09-02 |