NPI | 1013963370 |
---|---|
Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2015-10-20 |