| NPI | 1265575955 |
|---|---|
| Other Name | PROVIDENCE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEMAY President 570-326-5720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD046306-L) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA md046306L) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-01-11 |