| NPI | 1679544290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MONROE KIMMEL CEO/Medical Director 570-622-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 16671501) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-01-22 |