| NPI | 1699045724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS E DOMBROWSKI Owner 717-735-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA oeg000467) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |