| NPI | 1659488468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L REYNOLDS Client Manager 302-855-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0005520) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |