| NPI | 1689600967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUZANNE BOGATI Office Manager 570-420-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211244-1) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD065515L) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |