| NPI | 1588272587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A LUPO President & CEO 814-866-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |