| NPI | 1073880118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA SIBLE Administrative Assistant 724-438-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2012-01-11 |