| NPI | 1457310252 |
|---|---|
| Doing Business As | HAVEN ORTHOPEDIC AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARY NEWSOME Senior Vice President 570-893-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |