| NPI | 1891048179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A CASSIDY Administrator 302-993-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2021-03-15 |