Susquehanna Physician Services
NPI #1891714945 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1891714945
- Entity Type
- Organization
- Organization Name
- Susquehanna Physician Services
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 19, 2006
- Last Updated
- May 26, 2009
Practice Location
- Address
- 1100 GRAMPIAN BLVD
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-1909
- Phone
- (570) 320-7652
Authorized Official
- Name
- MR. CHARLES SANTANGELO
- Title
- EXECUTIVE VP/CFO
- Phone
- (570) 321-3171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Primary Care — Primary Care |
| Clinical Nurse Specialist |
| Nurse Practitioner |
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