| NPI | 1215052659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ASLAM Owner 570-622-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD015763E) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |