| NPI | 1629006606 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-10-20 |