| NPI | 1487837498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JAMES JOHNSON President/Sole Shareholder 570-449-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005660) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-10-14 |