Susquehanna Physician Services
NPI #1396970547 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1396970547
- Entity Type
- Organization
- Organization Name
- Susquehanna Physician Services
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 18, 2009
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 1201 GRAMPIAN BLVD
- Address 2
- SUITE 2E
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-1966
- Phone
- (570) 326-8502
Authorized Official
- Name
- MR. CHARLES SANTANGELO
- Title
- EXECUTIVE VP/CFO
- Phone
- (570) 321-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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