| NPI | 1992294243 |
|---|---|
| Former Legal Business Name | NANTICOKE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SLOAN TRAMMELL Director 302-629-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-08-17 |