NPI | 1912181660 |
---|---|
Doing Business As | ADVANCED HEALTH |
Entity Type | Organization |
Authorized Contact | JACOB RECKESS Practice Administrator 570-491-4164 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-12-18 |
Last Update Date | 2010-09-27 |