| NPI | 1942526207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA BIALCZAK Manager 203-384-3975 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2018-01-10 |