| NPI | 1932234457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANNE FUSCA Office Manager 302-475-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0005266) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |