| NPI | 1558393652 | 
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology | 
| Enumeration Date | 2006-07-07 | 
| Last Update Date | 2020-11-24 |