| NPI | 1073129557 |
|---|---|
| Doing Business As | CHURCH AVENUE OFFICES |
| Entity Type | Organization |
| Authorized Contact | SHELDON SY, MD Medical Director 570-592-4204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-12-24 |