| NPI | 1689055345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA DASIKA PERI President 302-858-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: DE 2014102910361) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-09-25 |