| NPI | 1104940501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD E JANUS Owner 814-836-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS0003666L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS003666L) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS003666L) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS0003666L) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: PA OS0003666L) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |