| NPI | 1255810602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAITANYA R GADDE CEO 302-507-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2026-09-24 |