NPI | 1790967644 |
---|---|
Doing Business As | HALEY FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MATTHEW C HALEY President 570-281-3366 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS009640L) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2011-01-20 |