| NPI | 1063692648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT DANIEL BLACKLOCK President 302-836-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C20003134) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2023-03-07 |