| NPI | 1992969364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J YOUNG Managing Member 203-483-4580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-02-24 |