| NPI | 1851697908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P SUNNEGREN Physician/Owner 302-645-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C1-0005267) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C1-0005239) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: DE C1-0002770) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |