NPI | 1326064460 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208600000X Surgery | |
2086S0129X Surgery, Vascular Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
208M00000X Hospitalist | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2014-11-25 |