| NPI | 1295903870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H. BLUM Owner 570-826-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA 17389E) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |