| NPI | 1558445130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EUGENE DYE Inte RN Al Medicine G.I. 717-272-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA 1225E) |
| Additional Taxonomies | 261QV0200X Clinic/Center VA (Licence: PA 1225E) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |