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Contact Information

SUSQUEHANNA GASTROENTEROLOGY ASSOCIATES, LTD
10 CHOATE CIRCLE
MONTOURSVILLE, PA17754
 Phone: 570-368-5566
 Fax: 570-368-5564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for SUSQUEHANNA GASTROENTEROLOGY ASSOCIATES LTD · (Female)

NPI # 1659302743
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 07/02/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 0007682010001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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