| NPI | 1972708857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F. SORDONI Family Practice Physician 570-714-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD072550L) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2009-07-14 |