| NPI | 1720525454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORI BALUYAN C Ped 717-799-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 600000885) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |