| NPI | 1790859783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DOUGLAS KANOUSE Physician 570-752-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-036479-E) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |