| NPI | 1396751913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CRISSINGER Office Manager 570-286-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD047557L) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-03-28 |