| NPI | 1972557486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SYGALL Delegated Official 203-579-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-01-13 |