Susquehanna Physician Services

NPI #1013963370 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1013963370
Entity Type: Organization
Organization Name: Susquehanna Physician Services
Primary Specialty: Family Medicine
Enumeration Date: May 26, 2006
Last Updated: Oct 20, 2015

Practice Location

Address: 1705 WARREN AVE
Address 2: SUITE 303
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-2665
Phone: (570) 326-8500

Authorized Official

Name: MS. MELISSA DAVIS
Title: VP/COO
Phone: (570) 320-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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