| NPI | 1992215446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHESS Authorized Official 203-666-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-04-13 |