NPI | 1205864188 |
---|---|
Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-29 |
Last Update Date | 2020-08-24 |