Susquehanna Physician Services
NPI #1588899736 in South Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1588899736
- Entity Type
- Organization
- Organization Name
- Susquehanna Physician Services
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 18, 2009
- Last Updated
- Jun 9, 2009
Practice Location
- Address
- 145 SHAFFER ST
- State
- Pennsylvania
- ZIP Code
- 17702-6799
- Phone
- (570) 326-2447
Authorized Official
- Name
- MR. CHARLES SANTANGELO
- Title
- EXECUTIVE VP/CFO
- Phone
- (570) 321-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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