| NPI | 1659572733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN H OLSEN President 570-558-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD042779E) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-14 |