| NPI | 1750718102 |
|---|---|
| Doing Business As | NORTHEAST PEDIATRIC PULMONOLOGY - UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2023-03-09 |