| NPI | 1942669916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J MARCUCIO Owner 203-889-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004531) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-04-05 |