| NPI | 1124283510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN D BREWER Medical Biller 302-377-3101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE FSSC-007) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |