Organization Name: | ALTOONA CENTER FOR CLINCIAL RESEARCH |
NPI Number: | 1407105935 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAN J KIVITZ (PRES) |
Mailing Address: | 175 Meadowbrook Ln Duncansville |
State: | PA US |
Postal Code: | 166358445 |
Phone Number: | 8146930300 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1102X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Study |
Taxonomy Definition: |