| NPI | 1548289689 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-10-20 |