| NPI | 1952498107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BANAAG SALVA President 302-762-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C10001602) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |