| NPI | 1962763722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GLECKLER CFO 203-576-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2013-11-05 |