| NPI | 1346377033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVEZ MEMON Owner 570-420-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD058888L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066364L) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-01-26 |