| NPI | 1497294813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE FENSTERMACHER Credentialing Manager 570-366-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |