| NPI | 1508041641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWAHAR N SUVARNAKAR President 814-371-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: PA MD038239L) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-09-18 |