| Susquehanna Health Medical Group | |
|
1705 Warren Ave Suite 303 Williamsport PA 17701-2665 | |
| (570) 326-8500 | |
| (570) 326-8049 |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 Warren Ave, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Melissa Davis (VP/COO) |
| Authorized Official Contact | 5703207696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 1705 Warren Ave Suite 303 Williamsport PA 17701-2665 Ph: (570) 326-8500 |
| NPI Number | 1013963370 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013963370 | NPI | - | NPPES |
| 0017300760180 | Medicaid | PA | |
| 802807 | Other | PA | HIGHMARK BLUE SHIELD |
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