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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

NPI Number 1417091794
LBN Legal business name SUSQUEHANNA PHYSICIAN SERVICES
Authorized official CHARLES SANTANGELO - (EXECUTIVE VP/ CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 10/18/2007 - About 19 years ago
Identifiers
PA Other 1515700 HIGHMARK BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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