NPI | 1902640238 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |