| NPI | 1548268550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. HAROSTOCK President 570-270-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD028903E) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-10-13 |