| NPI | 1790722478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT NEIL DISABELLA President 302-376-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: DE C2-0005338) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-11-04 |