| NPI | 1982649638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE JOHNSON Practice Manager 302-645-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE 1998210158) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-07-07 |