| NPI | 1346290103 |
|---|---|
| Doing Business As | DEVELOPMENTAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO VP CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01060385A) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-03-09 |