| NPI | 1770790974 |
|---|---|
| Other Name | BLOOMSBURG PHYSICIAN SERVICES GEN SURG |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DEVITO CFO 570-387-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |