NPI | 1619338126 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN SEIFF Physician 302-384-8696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DE C1-0008706) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2016-03-10 |