NPI | 1821332008 |
---|---|
Doing Business As | COORDINATED HEALTH PRIMARY CARE-HAZLETON |
Entity Type | Organization |
Authorized Contact | AMY NYBERG President & COO 610-861-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-11-12 |
Last Update Date | 2020-01-23 |