| NPI | 1982828182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WONG Authorized Official 203-876-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CT 037255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 016637) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-06-20 |