| NPI | 1992110621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUGUSTINE FARENS Physician 203-926-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053173) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-07-25 |