| NPI | 1831368141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A BOLTE Billing Manager 302-623-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DE C10000868) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2011-04-28 |