| NPI | 1154632560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M PIEKAREK Owner/Manager 302-424-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10003356) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |