| NPI | 1649491911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RECAREDO TRINIDAD BERBANO Medical Doctor Owner 570-718-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD418104) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-06-10 |