| NPI | 1477949139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS PETERZELL Physician 302-442-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: PA 27323601) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-05-01 |