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