| NPI | 1578590980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY IRVING EISENBERG Director 570-346-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-02-08 |