Susquehanna Physician Services
NPI #1033345533 in Muncy, Pennsylvania
Provider Information
- NPI Number
- 1033345533
- Entity Type
- Organization
- Organization Name
- Susquehanna Physician Services
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 10, 2009
- Last Updated
- Jul 16, 2009
Practice Location
- Address
- 10 SHADY LANE
- Address 2
- SUITE 201
- City
- Muncy
- State
- Pennsylvania
- ZIP Code
- 17756-8807
- Phone
- (570) 546-4100
Authorized Official
- Name
- MR. CHARLES SANTANGELO
- Title
- EXECUITVE VP/CFO
- Phone
- (570) 321-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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