| NPI | 1891019675 |
|---|---|
| Other Name | NORTHEAST MEDICAL GROUP YNH GERIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRUCE MCDONALD President 203-384-3394 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-05-18 |