| NPI | 1780808519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B. ECKEL Owner 570-275-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD019417E) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-10 |