| NPI | 1548316110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYODEJI OLUMUYIWA BAKARE Medical Director 717-541-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA md035439e) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-08-30 |