| NPI | 1386662054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA SAMARY GONZALEZ Practice Manager 302-725-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C20006015) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-09-16 |