| NPI | 1770719882 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2015-10-22 |