| NPI | 1902095003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTO PETRUZZIELLO Owner 203-672-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2012-05-31 |