| NPI | 1992359798 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LORETTA V MYERS Credentialing Coordinator 570-320-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |