NPI | 1346838984 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN SHEYDWASSER Authorized Official 570-406-6063 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2021-01-08 |
Last Update Date | 2021-11-23 |