| NPI | 1780709907 |
|---|---|
| Doing Business As | COORDINATED CARE OF KINGSTON |
| Entity Type | Organization |
| Authorized Contact | HERBERT FELLERMAN President 570-714-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD010836E) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |