| NPI | 1518359579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDU PAUL Office Manager 570-622-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD418768) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2023-11-30 |