| NPI | 1841234564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GEORGE Credentialing Specialist 302-366-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-07-20 |