| NPI | 1689674269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDO JOHN SURACI Owner/Director 570-759-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD027971F) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD027971E) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-02-18 |