| NPI | 1295947141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BROWN Billing Office 570-970-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD048279L) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-07-06 |