| NPI | 1508959420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE S HARVEY Office Manager 866-848-4296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-08-21 |