| NPI | 1356617617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JOHN MILKS President 570-251-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD018557E) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |