| NPI | 1992740906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J COSTLEIGH Medical Director/President 302-645-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-06-11 |