| NPI | 1366887887 |
|---|---|
| Other Name | IMGPC ALLERGY |
| Entity Type | Organization |
| Authorized Contact | CRAIG HUNT Chief Operating Officer 570-622-5455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |