| NPI | 1902385255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC MARIANO SCIAMANDA Owner 814-456-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS018175) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-11-04 |