| NPI | 1891994083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIREZA AFSHAR Sole Member/Owner 203-426-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 045227) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-06-28 |