NPI | 1295798924 |
---|---|
Former Legal Business Name | VITREORETINAL ASSOCIATES, P.C. |
Entity Type | Organization |
Authorized Contact | DAVID A LIGHTMAN President 570-321-0880 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2006-04-12 |
Last Update Date | 2009-12-31 |