# SUTURE SQUAD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891501961
- **Authorized official:** JOHN CONWAY PA-C (PHYSICIAN ASSISTANT, MANAGER/MSO)
- **Authorized official phone:** (816) 678-8542

## Contact information

- **Practice address:** 40 W MAIN ST STE 101, HUMMELSTOWN, PA 17036-1528
- **Practice address phone:** (223) 234-8013
- **Mailing address:** 1008 FAIRDELL DR, HUMMELSTOWN, PA 17036-8710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 02/11/2025
