| NPI | 1811466949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLEEN A AUKAMP Credentialing Manager 302-451-6913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 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 | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-01-14 |