Organization
SUSQUEHANNA UROLOGIC ASSOCIATES LTD
Active
Other names
Susquehanna Urologic Associates LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILLE E MANSUY (OFFICE MANAGER)
(570) 326-8090
Entity
Organization
Contact information
Practice address
1705 WARREN AVE STE 206, WILLIAMSPORT, PA 17701
(570) 326-8090
(570) 326-7513
Mailing address
1705 WARREN AVE STE 206, WILLIAMSPORT, PA 17701
(570) 326-8090
(570) 326-7513
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
02/05/2010
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