| NPI | 1861816175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL KENTA-BIBI Sole Proprietor 203-901-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 047740) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-03-14 |