| NPI | 1417393000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE BRANNING President 570-352-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005984) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |