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Contact Information

SUSQUEHANNA PHYSICIAN SERVICES
471 HEPBURN ST
SUITE 135
WILLIAMSPORT, PA17701-6122
 Phone: 570-567-5425
 Fax: 570-567-5426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hepatology

207RI0008X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUSQUEHANNA PHYSICIAN SERVICES · (Female)

NPI # 1417091794
Status Active
Credentials
Entity Individual
Enumeration date 02/19/2007
Last updated 10/18/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Other 1515700 HIGHMARK BLUE SHIELD
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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