NPI | 1063861219 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY L MULL System Director 570-271-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207N00000X Dermatology |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207T00000X Neurological Surgery | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
207ZC0500X Pathology Cytopathology | |
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
208000000X Pediatrics | |
2085R0202X Radiology Diagnostic Radiology | |
2085R0204X Radiology Vascular & Interventional Radiology | |
2085U0001X Radiology Diagnostic Ultrasound | |
208M00000X Hospitalist | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2021-09-30 |