| NPI | 1871930057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE BARCHAT COO 203-488-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 291U00000X Clinical Medical Laboratory | |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-12-04 |