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Organization
SUSQUEHANNA ANESTHESIA AFFILIATES, PC
Active
Organization
SUSQUEHANNA ANESTHESIA AFFILIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C SONG MD (VICE PRESIDENT)
(607) 763-6735
Entity
Organization
Contact information
Practice address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Mailing address
156 CORLISS AVE, SUITE 107, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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