| NPI | 1760564223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK A BUCCI Medical Director 570-825-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 39C0001108) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |