| NPI | 1821042615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HOLDREN CAO 570-271-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics Pediatric Nephrology | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 2080P0216X Pediatrics Pediatric Rheumatology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-06-27 |