| NPI | 1598007783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing COO Rdinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2016-10-04 |