| 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 |