| NPI | 1881793511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM BAHGAT SHITIA President 203-271-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CT 034996) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL ME72340) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |