| NPI | 1134104565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2024-12-06 |