| NPI | 1073546180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE C WOLFGANG Physician/Owner 302-629-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0003884) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-12-03 |