| NPI | 1417903683 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-10-19 |