| NPI | 1932253002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J BADDICK Owner, Executive Director 570-386-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-11-19 |