Susquehanna Physician Services in Williamsport - Endocrinology, Diabetes & Metabolism

Susquehanna Physician Services - NPI 1184652133

Susquehanna Physician Services is a Endocrinology, Diabetes & Metabolism in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Susquehanna Physician Services is 1184652133. The last update date is 2015-10-20.

Susquehanna Physician Services's current location address is 1100 Grampian Blvd, Williamsport, Pennsylvania. You can contact this provider via phone number 5703207848 and fax number 5703207856. The mailing address for Susquehanna Physician Services is 1100 Grampian Blvd, Williamsport, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Susquehanna Physician Services
Address 1100 Grampian Blvd, Williamsport, Pennsylvania
Phone Number 5703207848
Fax Number 5703207856
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP/COO
Authorized Official Name Davis Melissa
Telephone Number 5703207696

NPI Number Detail

NPI Number 1184652133
Provider Enumeration Date 2006-06-29
Last Updated Date 2015-10-20

Provider Mailing Address Detail

Address 1100 Grampian Blvd
City Williamsport
State Pennsylvania (PA)
Post Code 1770119090
Phone Number 5703207848
Fax Number 5703207856

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17300760191 PA --
880543 PA HIGHMARK BLUE SHIELD

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FAQs about Susquehanna Physician Services

What is the unique 10-digit identification code issued to Susquehanna Physician Services by the Centers for Medicare & Medicaid Services?

The Susquehanna Physician Services has been assigned the NPI (National Provider Identifier) 1184652133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Susquehanna Physician Services is physically located?

The Susquehanna Physician Services is physically situated at the following address: 1100 Grampian Blvd, Williamsport, PA, 1770119090.

What is the area of specialization for Susquehanna Physician Services, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Susquehanna Physician Services is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code that categorizes this area of expertise is 207Re0101X.

On what date did the Susquehanna Physician Services receive the assignment of its 1184652133 from the Centers for Medicare & Medicaid Services?

The Susquehanna Physician Services was issued its 1184652133 by the Centers for Medicare & Medicaid Services on 2006-06-29.

When was the information pertaining to Susquehanna Physician Services most recently updated or revised?

The details related to Susquehanna Physician Services, including its address, specialty, and other relevant information, were last updated or revised on 2015-10-20.

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