| NPI | 1548301393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FRANCIS LATUSKA Owner 724-482-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD025407E) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD038916E) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA OS007169L) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-10-11 |