| NPI | 1659752715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIFA ARTAMONOV Practice Manager 570-872-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA ma057497) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |