| NPI | 1528339108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALICANO F INGUITO Owner/Physician 302-473-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10003906) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |