Organization
SUSQUEHANNA GASTROENTEROLOGY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY M. NEUHARD JR. (ADMINISTRATOR)
(570) 368-5561
Entity
Organization
Contact information
Practice address
10 CHOATE CIRCLE, MONTOURSVILLE, PA 17754
(570) 368-5566
(570) 368-5564
Mailing address
10 CHOATE CIRCLE, MONTOURSVILLE, PA 17754
(570) 368-5566
(570) 365-5564
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007682010001
—
PA
Enumeration date
07/06/2006
Last updated
07/02/2014
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