NPI | 1306804778 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY MULL Director 570-271-6144 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
207RR0500X Internal Medicine, Rheumatology | |
291U00000X Clinical Medical Laboratory | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-02-28 |