| NPI | 1700034246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY D FENSTER Owner 570-822-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD073510L) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |