| NPI | 1437737442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWAN RASTOGI President Board Of Managers 302-463-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-11-06 |