| NPI | 1033989942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLAEUER Executive Director 302-731-2888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |