| NPI | 1457507758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAELE TODARO Owner 302-765-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: DE C1-0004323) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-05-01 |