| 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 | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 208000000X Pediatrics | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2080P0216X Pediatrics, Pediatric Rheumatology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-06-27 |