| NPI | 1992743868 |
|---|---|
| Doing Business As | SUSQUEHANNA HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207Q00000X Family Medicine | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-10-26 |