| NPI | 1487986139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH GAMANLAL BHAGAT Owner 570-424-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD-030862-E) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |