| NPI | 1205839164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J HECKERT President 302-644-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE 2003109879) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-06-10 |