| NPI | 1922159458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLL M. MCWILLIAMS Office Manager 302-422-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DE 1989020679) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-07-03 |