| NPI | 1396882296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGIS CABANOR CEO 570-387-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |