| NPI | 1942866793 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | KRIPA PLAPETTA DAMODHARAN Ap RN 203-443-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-06-30 |