NPI | 1669709085 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH F CAMPANA Doctor/Pres 570-323-7187 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA 207Y00000X) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: PA 207W00000X) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2009-11-17 |