Individual
DR. SUZAN ANNETTE MCGARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 SHERIDAN ST, WILLIAMSPORT, PA 17701-3618
(570) 326-1100
Mailing address
1140 SHERIDAN ST, WILLIAMSPORT, PA 17701-3618
(570) 326-1100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD043543E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017479590001
—
PA
01
—
1585016
GATEWAY
PA
01
—
160449
HIGHMARK BLUE SHIELD
PA
01
—
30122967
AMERIHEALTH MERCY - WMG
PA
Enumeration date
11/08/2005
Last updated
01/04/2017
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