| NPI | 1053428037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY SIN-CHEN CHANG Staff Physician 570-824-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: PA MD035363L) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |