| NPI | 1114595030 |
|---|---|
| Doing Business As | PRO- HEALTH FAMILY MEDICINE |
| Doing Business As | PRO-HEALTH FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHAKHAWAT HOSSAIN Physician 570-730-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-22 |