NPI | 1952639601 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN S. VEGLIA President 570-454-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD031654E) |
Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: PA MD427833) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD427833) | |
Enumeration Date | 2009-11-18 |
Last Update Date | 2010-01-27 |