| NPI | 1215978614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN GEORGE CAMPO Owner 302-376-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: DE c10004487) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |