| NPI | 1306009394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SHEEHAN Contractor 302-654-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: DE C100002238) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |