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Organization
SUSQUEHANNA VALLEY MEDICAL SPECIALTIES
Active
Organization
SUSQUEHANNA VALLEY MEDICAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S WILLIAMS DO (PRESIDENT)
(570) 784-7300
Entity
Organization
Contact information
Practice address
6850 LOWS RD, BLOOMSBURG, PA 17815-8729
(570) 784-7300
(570) 784-7331
Mailing address
6850 LOWS RD, BLOOMSBURG, PA 17815-8729
(570) 784-7300
(570) 784-7331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016824700001
—
PA
Enumeration date
07/17/2006
Last updated
10/03/2007
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