| NPI | 1639114606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALKISSOON A MAHARAJH Pysician 814-536-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD051194L) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-04-20 |