| NPI | 1447600416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURHAN HAMEED Owner 302-542-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 24621501) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2018-07-13 |