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Organization

SUSQUEHANNA PHYSICIAN SERVICES

Active
Other names
Susquehanna Health Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA DAVIS (VP/COO)
(570) 320-7696
Entity
Organization

Contact information

Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1907
(570) 326-8470
(570) 326-8590
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2085R0001X
Radiation Oncology Physician
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
10/31/2006
Last updated
09/09/2019
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