| NPI | 1366526386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HARDEN Practice Administrator 717-637-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA Md-019142-E) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |