| NPI | 1972713253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON C GAUDIO Md 860-536-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 040569) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |