| NPI | 1568417186 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSEPH EDWARD AMBROSE Owner/Physician 724-349-9430  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 05004831L)  | 
| Enumeration Date | 2006-05-23 | 
| Last Update Date | 2017-10-23 |