NPI | 1275774747 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY R CUCUZZELLA Medical Director 302-623-4144 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE pending) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2009-07-28 |