| NPI | 1861530750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN A MAGNER President 203-790-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-02-13 |