| NPI | 1447308168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SHOCKLEY Office Manager 302-678-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DE C10005894) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-05-27 |