| NPI | 1538127428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P CUTILLO President 570-558-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-08-11 |