| NPI | 1346386992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S WOLFGANG Office Manager 717-741-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: PA MD008050E) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-11-05 |