| NPI | 1821172834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEHAGIAS Physician/Owner 302-378-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10006722) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-03-19 |