| NPI | 1750361945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TAMA ZANG President 570-265-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 261Q00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-09-13 |