| NPI | 1275855264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND J MANAHAN Sole Proprietor 570-346-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-09-30 |