| NPI | 1164439006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIDORU PRIMPRO Chief Financial Officer 570-941-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA SP007899) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-07-24 |