| NPI | 1336637792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEMAAN ABBOUD CEO 302-945-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-04-08 |