| NPI | 1043061849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY RIESEN Corporate Director Of Revenue Cycle 302-623-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |