| NPI | 1093044091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN LENNON Billing Manager 302-368-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2023-04-06 |