| NPI | 1447445382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MITCHELL Practice Manager 302-629-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0002720) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-11-14 |