| NPI | 1265435176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B CONAHAN Managing Director 570-421-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 16821500) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-04-24 |