NPI | 1871635458 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD S POLASHENSKI President 570-455-7677 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OS 004597 L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OS 004597 L) |
207R00000X Internal Medicine (Licence: MD 031594 E) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MD 031594 E) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-06-20 |