NPI | 1225189095 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL C STICKLER Owner President 302-644-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: DE C10007095) |
Additional Taxonomies | 207N00000X Dermatology (Licence: DE C10003715) |
207N00000X Dermatology (Licence: DE C50000344) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2014-10-01 |