| NPI | 1134125719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELEANORE SNYDER Administrative Services Manager 717-849-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 45681500) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-10-19 |