| NPI | 1942400049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAPIRO Vice President 203-744-1639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CT 016412) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |