| NPI | 1336279173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE PIKULSKI Practice Manager 570-969-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA md053580l) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-08-11 |