| NPI | 1700962701 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 2085R0001X | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-09-09 |