| NPI | 1942546148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY STRADER Office Manager 302-422-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10002610) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2014-12-08 |