| NPI | 1841254547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L CHIAVACCI President 570-388-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD039389L) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |