| NPI | 1255997219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DAVIS Credentialing Coordinator 302-628-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-11-25 |