| NPI | 1649327792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS003106L) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-08-30 |