Organization
SUSQUEHANNA VALLEY MEDICAL SPECIALTIES, PC
Active
Other names
Susquehanna Valley Orthopaedic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
(570) 784-7300
(570) 784-7331
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF3900
RAILROAD MEDICARE
PA
Enumeration date
08/25/2005
Last updated
05/14/2008
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