| NPI | 1871529107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN M VASSALLO Office Manager 302-854-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10005053) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2010-07-11 |