| NPI | 1881610442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON MORRIS Owner 717-272-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS003449L) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS003449L) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS004587L) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS004587L) | |
| 208000000X Pediatrics (Licence: PA OS003439L) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-11-16 |