| NPI | 1699325407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ROMANOSKI Provider Enrollment Specialist 717-531-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |