| NPI | 1710150859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANDROVICH CHAVARRY Owner 302-747-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DE 2008040814947) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2013-04-05 |