| NPI | 1730464405 |
|---|---|
| Doing Business As | PMC PHYSICIAN ASSOCIATES VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | JANE RAGONE Manager 570-420-4970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2014-08-29 |