| NPI | 1649391624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. OWENS CEO 570-718-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD014127E) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |