| NPI | 1245865583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2025-06-13 |