NPI | 1922308048 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELENE PANCIERA Medical Assistant 203-265-6522 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 015178) |
Enumeration Date | 2010-10-22 |
Last Update Date | 2012-02-29 |