| NPI | 1659700714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE MATHIAS OLASUNKANMI Medical Director 302-559-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE C1-0009747) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |