| NPI | 1871094623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ELLIS MICHAEL Organizer 717-287-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA md438989) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-10-28 |