| NPI | 1861772022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN TITTLE President 203-403-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |