| NPI | 1578608592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN MACOLLEY Business Manager 302-392-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE 2007214283) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |