| NPI | 1932156791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MILLER Credentialing Manager 570-366-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-06-14 |