| NPI | 1588080824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ZULA Executive Director 570-823-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2024-05-17 |