| 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 |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-10-20 |