| NPI | 1710004270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA KUNZ Billing Administrator 717-564-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA md0716391) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-04-01 |