| NPI | 1710017017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC PORTMANN Practice Administrator 302-623-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: DE 199515799) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |