| NPI | 1770122764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE PAULUS Practice Manager 302-766-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |