| NPI | 1891159240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN RABACH Dermatology 203-687-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 249977) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 277117) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |