| NPI | 1053867242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L FITZPATRICK Owner 717-555-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD433965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD433965) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-12-16 |