| NPI | 1194723007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO J. SEBASTIANELLI Owner 570-347-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD006983E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD006983E) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2007-08-06 |