| 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 |