| NPI | 1962495838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY F. OLIVA Vice President Medical Affairs 302-744-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C20006782) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |