| NPI | 1972769032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STYLIANOS THEOFANIDIS Physician 203-863-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 028038) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |