| NPI | 1750406922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ANN MCWILLIAMS Office Manager 717-741-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD011092E) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-01-26 |