| NPI | 1366470973 |
|---|---|
| Other Name | SPS-LOYALSOCK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CHARLES SANTANGELO Executive VP/CFO 570-321-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-05-26 |