NPI | 1407836315 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE O'CONNOR Administrator 302-894-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: DE 1999209751) |
261Q00000X Clinic/Center | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2018-04-17 |