| NPI | 1205870904 |
|---|---|
| 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 | 1041C0700X Social Worker, Clinical |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-10-20 |