| NPI | 1043514797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VIVIAN Office Manager 302-633-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE c1-0009568) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |