| NPI | 1154463206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT RUSSELL FORD President 302-633-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0004616) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |