| NPI | 1972238624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLE VON KOHORN Owner & President 203-535-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 208000000X Pediatrics | |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |