| NPI | 1356526966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN FRAZIER Billing Supervisor 717-838-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD035567E) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |