| NPI | 1396043964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A BERMAN President 570-718-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022936L) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA DS022936L) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-06-20 |