| NPI | 1184339665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANEESH SINGHAL CEO 570-290-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |