| NPI | 1174546352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAFUL TILVA Delegated Offical Physician 570-988-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |