| 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 | 2025-05-02 |