| NPI | 1982069555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FAMIGLIO Medical Director 570-505-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD042726L) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |