| NPI | 1356719561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP EDWARD GALLAGHER Physician 814-456-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA md025120e) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-11-11 |