Organization
SUSQUEHANNA ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY M NEUHARD (ADMINISTRATOR)
(570) 368-5561
Entity
Organization
Contact information
Practice address
10 CHOATE CIRCLE, MONTOURSVILLE, PA 17754
(570) 368-5581
(570) 368-5564
Mailing address
10 CHOATE CIRCLE, MONTOURSVILLE, PA 17754
(570) 368-5581
(570) 368-5564
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00673224
RAILROAD MEDICARE
PA
Enumeration date
04/11/2008
Last updated
10/11/2016
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