NPI | 1083677868 |
---|---|
Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RS0012X Internal Medicine, Sleep Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2015-11-02 |