NPI | 1649221029 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-04-20 |