| NPI | 1033292016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEFINA CANCINO Physician Owner 302-653-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE g0005169) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-05-06 |