| NPI | 1629187646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. BORER President 302-674-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: DE 1989031835) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |