| NPI | 1609117902 |
|---|---|
| Doing Business As | CRANBERRY INTERNAL MEDICINE WEXFORD |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD056332L) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |