NPI | 1801830807 |
---|---|
Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
Additional Taxonomies | 208800000X Urology |
2088P0231X Urology Pediatric Urology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2023-07-07 |