| NPI | 1578566907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN MARTIN Physician/Owner 302-934-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C20005747) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |