| NPI | 1790088771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL J ARTAMONOV President 570-872-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD424898) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2014-10-02 |