| 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 |