| NPI | 1821634858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-03-14 |