| NPI | 1477859643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ZAHL Director 570-422-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA MD-028311E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD-028311E) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2024-11-06 |