NPI | 1144321555 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH R GUISTWITE President 717-243-1516 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD014273E) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS010715L) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |