| NPI | 1528179686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A SHAFFER Office Manager 570-821-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |