| NPI | 1851322770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON SIDLOSKI Chief Administrative Officer 570-558-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363A00000X Physician Assistant | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-02-18 |