| NPI | 1578014007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA VEST Supervisor Verification Services 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2018-01-11 |