| NPI | 1700953437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MITCHELL Billing Clerk 302-629-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C10001675) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-12-27 |