NPI | 1649242660 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT T DUPLESSIS President/COO 570-282-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2010-12-29 |