NPI | 1740433648 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE J FREM President/Medical Director 814-539-0798 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD042825E) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA002696L) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2010-08-17 |