| NPI | 1063854628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH R BALU CEO 302-741-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2025-08-25 |