| NPI | 1487428397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM SALISU Chief Operating Officer 570-445-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| 246XC2903X Specialist/Technologist Cardiovascular Vascular Specialist | |
| 2471V0105X Radiologic Technologist Vascular Sonography | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2024-06-18 |