| NPI | 1326128786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G WAGNER Physician/Owner 302-684-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-07-07 |