| NPI | 1811766637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F LYNCH President 570-762-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-05-08 |