| NPI | 1376163014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |