NPI | 1790547289 |
---|---|
Doing Business As | ON D GO DOC |
Entity Type | Organization |
Authorized Contact | A. STEPHANIE ONEDO Medical Director/Physician 302-402-5509 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-03-29 |