| NPI | 1215359815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FLEISCHMANN Sr. Vice President Finance & CFO 145-762-3053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2021-10-21 |