| NPI | 1336143718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E FAVA President 717-272-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 10621500) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |