| NPI | 1073570859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL TEDESCO President 570-341-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS003900L) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-03-07 |