| NPI | 1760186688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUERRIERO Authorized Official 570-855-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |