| NPI | 1255633459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI NIKPARVARFARD Owner 570-441-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2012-03-19 |