| NPI | 1326296823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARITZA RAMOS Billing Manager 302-633-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C 10007081) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-03-16 |