| NPI | 1528463684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE N DIEM COO 302-698-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE 2014606438) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: DE 2014606438) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2018-08-29 |