| NPI | 1700153376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B DUBIT Owner 5404-653-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2012-09-25 |