| NPI | 1710069497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M KLYNOWSKY-FARRELL Physician/Owner 570-829-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-009866L) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-09-04 |