| NPI | 1730104969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KLINE Manager 570-424-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Y00000X Otolaryngology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-10-16 |