| NPI | 1558970640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ALLAN DEANGELO President 717-557-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-12-03 |