| NPI | 1922500412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN HICKEY AHERN Ap RN 203-261-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 1425) |
| Additional Taxonomies | 261Q00000X (Licence: CT 1425) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-08 |