| NPI | 1760706360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS POPCZYK Landlord/Owner 302-994-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE f1-0000756) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |