| NPI | 1376657635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL WONG President 724-527-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD038763L) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-11-14 |