| NPI | 1134455967 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2015-10-27 |