| NPI | 1881721900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE ANTONOPOULOS Owner 203-758-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6868) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-11-02 |