| NPI | 1891394441 |
|---|---|
| Other Name | PENN STATE HEALTH MEDICAL GROUP - EAST PENNSBORO |
| Entity Type | Organization |
| Authorized Contact | PAULA TINCH CFO 585-922-1223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |