NPI | 1275608630 |
---|---|
Other Name | CDW NORTH DUP |
Entity Type | Organization |
Authorized Contact | HERMAN ELLIS Medical Director 302-744-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |