| NPI | 1932371945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE GAMBARDELLA Billing Manager 203-787-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CT 000283) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-07-11 |