| NPI | 1932513397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing COO Rdinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2016-10-05 |