| NPI | 1679700843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONRAD HELMUT KAEDING Manager 302-518-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 17583) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| 207R00000X Internal Medicine (Licence: NC 9300173) | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-10-02 |