NPI | 1831412246 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN M KRAJEWSKI President/Chief Executive Officer 570-567-5412 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
207R00000X Internal Medicine | |
126800000X Dental Assistant | |
124Q00000X Dental Hygienist | |
122300000X Dentist | |
1223G0001X Dentist, General Practice | |
1223D0001X Dentist, Dental Public Health | |
Enumeration Date | 2010-03-12 |
Last Update Date | 2010-10-29 |