| NPI | 1043297344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED DANIEL KOSENSKE Owner 717-249-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD043353L) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD043353L) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-22 |