Organization
SUSQUEHANNA SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TY S WILLIAMS (ADMINISTRATOR)
(570) 784-6070
Entity
Organization
Contact information
Practice address
6850 LOWS ROAD, BLOOMSBURG, PA 17815
(570) 784-6070
(570) 784-8525
Mailing address
6850 LOWS ROAD, BLOOMSBURG, PA 17815
(570) 784-6070
(570) 784-8525
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14481501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00168247001
—
PA
Enumeration date
05/26/2006
Last updated
08/22/2020
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