| NPI | 1265591481 |
|---|---|
| Doing Business As | PINE GROVE ADULT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | AMY F WILKINSON Credentialing Coordinator 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-08-11 |