| NPI | 1467547208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IQBAL KHAN President 570-474-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD052377L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD065153L) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |