| NPI | 1891776811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN K CERO Practice Manager 570-567-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |