| NPI | 1134323918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D BACHARACH Owner 717-735-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD037966E) |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: PA MD037966E) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-01-13 |