| NPI | 1902279607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L WILLEY Executive Director 203-576-5076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2016-08-17 |