| NPI | 1992897201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKUB LEKACH Owner 570-343-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD036617E) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |