| NPI | 1821272147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY STANLEY BOBECK Owner 570-822-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD036890E) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |