| NPI | 1982649802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT K MALL Owner Md 814-262-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD023412E) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-05-14 |