NPI | 1881731321 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY PICCIONI Medical Director 302-270-2798 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: DE PENDING) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-03-03 |