| NPI | 1477565968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN S. FRAZIER Billing Supervisor 717-838-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD044322L) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-06-10 |