NPI | 1942483730 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE T HARRISON Billing Manager 570-421-5123 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY MD043925E) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2007-12-14 |