| NPI | 1679687966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J TUROCK Owner 570-344-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD013495E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS12156) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |