| NPI | 1609951078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE CORALLO Owner Physician 717-397-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA 042035E) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-03-05 |