| NPI | 1164534731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L MACOLLEY Business Manager 302-368-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE 1989014003) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |