| NPI | 1609265743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE R BOUSAMRA Owner 724-374-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD067949L) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |