NPI | 1538111786 |
---|---|
Doing Business As | WYOMING VALLEY PEDIATRICS |
Entity Type | Organization |
Authorized Contact | MICHAEL STEVEN IMBROGNO President 570-822-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD 037262 E) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-08-22 |