Susquehanna Physician Services
NPI #1174570618 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1174570618
- Entity Type
- Organization
- Organization Name
- Susquehanna Physician Services
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 30, 2006
- Last Updated
- Jul 29, 2010
Practice Location
- Address
- 904 CAMPBELL ST
- Address 2
- SUITE 202
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-3165
- Phone
- (570) 321-2290
Authorized Official
- Name
- MR. CHARLES SANTANGELO
- Title
- EXECUTIVE VP/CFO
- Phone
- (570) 321-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
| Internal Medicine |
| Family Medicine |
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