NPI | 1699939819 |
---|---|
Other Name | WYSOX OFFICE |
Entity Type | Organization |
Authorized Contact | ANGELA TAMA TAMA President/Owner 570-265-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2008-07-16 |
Last Update Date | 2022-09-14 |