| NPI | 1689905606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SANTANGELO Executive VP/CFO 570-321-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |