| NPI | 1982846903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J. COLLINI Administrator 570-674-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA 044972E) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2017-05-09 |