Organization
SUSQUEHANNA VALLEY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SHAPIRO MD (CHAIRMAN OF BOARD)
(717) 657-7556
Entity
Organization
Contact information
Practice address
4310 LONDONDERRY ROAD, SUITE #1, HARRISBURG, PA 17109-5317
(717) 657-7556
(717) 657-7558
Mailing address
4310 LONDONDERRY RD STE 1, HARRISBURG, PA 17109-5302
(717) 657-7556
(717) 657-7558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11761500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017965790002
—
PA
Enumeration date
08/10/2005
Last updated
09/26/2018
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