| NPI | 1881664167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BORAN Partner 570-621-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD030208E) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT0008696L) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-08-26 |