| NPI | 1780295733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |