| NPI | 1669392882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEBO Medical Director 302-856-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2026-07-17 |
| Last Update Date | 2026-07-29 |