Susquehanna Physician Services

NPI #1760414874 in Williamsport, Pennsylvania

Provider Information

NPI Number
1760414874
Entity Type
Organization
Organization Name
Susquehanna Physician Services
Primary Specialty
Internal Medicine
Enumeration Date
Jul 7, 2006
Last Updated
May 20, 2010

Practice Location

Address
904 CAMPBELL ST
ZIP Code
17701-3166
Phone
(570) 321-3110

Authorized Official

Name
MR. CHARLES SANTANGELO
Title
EXECUTIVE VP/CFO
Phone
(570) 321-3171

Specialties & Taxonomy Codes

Specialty
Pediatrics
Physician Assistant
Physician Assistant - MedicalMedical
Internal Medicine

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