| NPI | 1114927043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R LONG Owner/Physician 717-270-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD-064156L) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |