| NPI | 1639275274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DIVENTI Office Manager 302-235-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10005226) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-11-10 |