| NPI | 1417353558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON LEBOVITZ Medical Director 302-777-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-05-26 |