| NPI | 1902230030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE S LEVIN Manager 203-579-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 020625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 050053) |
| 207R00000X Internal Medicine (Licence: CT 047525) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |