| NPI | 1174570618 |
|---|---|
| Other Name | SPS-PECK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHARLES SANTANGELO Executive VP/CFO 570-321-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2010-07-29 |