| NPI | 1912123894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYN M WARREN Head Surgeon 302-368-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |