| NPI | 1215313275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W MOORE President 717-547-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS015726) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA OS015726) |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: PA OS015726) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-04-16 |