| NPI | 1073639258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID FLEMING Owner 717-627-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD025637E) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |