| NPI | 1992323810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QAYYUM NAZAR Owner 302-838-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-12-31 |