| NPI | 1366593121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE DECKER Owner 570-822-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD065216L) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |