NPI | 1851469738 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A FRATTALI Medical Director 570-346-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 21511501) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-08-16 |