| NPI | 1477793172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2020-04-24 |