NPI | 1235642968 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM DALY Chief Executive Officer 717-782-4742 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
207QA0505X Family Medicine, Adult Medicine | |
207RA0401X Internal Medicine, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |