| NPI | 1114243466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GRUNEIRO Owner 570-620-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME86827) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |