| NPI | 1376221531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM MALKIN President 725-888-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |