| NPI | 1336103688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART MARTIN OLINSKY Physician President 570-322-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA050972) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD026303E) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |