| NPI | 1750123287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G JANARIOUS Chief Medical Officer 302-330-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |