| NPI | 1336175595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WRIGHT Credentialing 570-876-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-07-27 |