| NPI | 1124236708 |
|---|---|
| Other Name | BLOOMSBURG PHYSICIAN SERVICES OBGYN |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEVITO CFO 570-387-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |