| NPI | 1831387612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG JANG HWAN Owner 570-587-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD033267L) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |