| NPI | 1871731927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A PARRETT Practice Administrator 203-287-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2013-11-26 |