| NPI | 1053347351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY J. JOHNSON Office Manager 717-217-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-07-27 |