| NPI | 1457847162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT YANOSHAK Member 570-826-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-23 |