| NPI | 1639166812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FERMIN DELAFUENTE President 717-766-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |