NPI | 1821010638 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA LUZETSKY Administrative Director 302-454-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE FSSC004A) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: DE FSSC004) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2020-07-08 |