NPI | 1205592474 |
---|---|
Doing Business As | ST. LUKE'S FAMILY MEDICINE TOBYHANNA |
Entity Type | Organization |
Authorized Contact | SUE CHIAVAROLI Enrollment Mgr 484-526-3569 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-11-12 |
Last Update Date | 2021-11-12 |