| NPI | 1245370246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WENDELL FORD Medical Doctor 302-674-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0002538) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-06-27 |