| NPI | 1457543290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEVITO CFO 570-387-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |