| NPI | 1487609517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLLY FADER Coding Manager 302-266-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DE C10005967) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-01-07 |