| NPI | 1780065151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN L EDWARDS Office Manager 302-678-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: DE C1-0000597) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |