| NPI | 1811466949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLEEN A AUKAMP Credentialing Manager 302-451-6913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 174400000X Specialist |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |