| NPI | 1891112637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A STOFER President & COO 857-282-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 207KA0200X Allergy & Immunology Allergy | |
| 207P00000X Emergency Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2025-07-29 |