Susquehanna Physician Services

NPI #1205870904 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1205870904
Entity Type: Organization
Organization Name: Susquehanna Physician Services
Primary Specialty: Family Medicine
Enumeration Date: Jun 15, 2006
Last Updated: Oct 20, 2015

Practice Location

Address: 740 HIGH ST
Address 2: SUITE 4001
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-3100
Phone: (570) 321-2345

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Obstetrics & Gynecology	207V00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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