| NPI | 1962777847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BOTHWELL Physician Assistant 203-273-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 015373) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |