| 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 |