| NPI | 1003907965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB NULL Office Manager 717-774-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD045352E) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD046124L) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD069690L) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD073033L) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-08-03 |