NPI | 1730210626 |
---|---|
Doing Business As | JAMES STREET FAMILY MEDICINE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | FRANK JOSEPH BYORICK CFO 717-544-5511 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-09 |
Last Update Date | 2009-05-13 |