| NPI | 1770724114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MULL Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2019-02-28 |