| NPI | 1245434893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H DITTMAN Physician 570-453-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD015439E) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |