NPI | 1316124902 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT L ROSS Physician 570-347-5605 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD009571E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD063076L) |
Enumeration Date | 2008-01-25 |
Last Update Date | 2008-01-25 |