| NPI | 1093780322 |
|---|---|
| Other Name | UPG ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD MCKENNA Predient 717-531-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA 135101) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA 135101) |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA 135101) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-01-21 |