| NPI | 1447219431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD P GIBBONS President 570-654-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-03-23 |