| NPI | 1093571911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS L NADAL Medical Director 570-490-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-10-08 |