| NPI | 1336767151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology |
| 208600000X Surgery | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |