| NPI | 1679676548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON A. BOTEK President/Physician 570-748-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD065413L) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |