NPI | 1083910749 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH JORDAN STORLAZZI President 302-479-5351 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: DE C100000170) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C100000170) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2017-07-31 |