| NPI | 1588013213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN FINNEY Office Manager 302-468-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE C1-001613) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-10-26 |