Susquehanna Physician Services in Williamsport - Pediatrics
Susquehanna Physician Services - NPI 1760414874
Susquehanna Physician Services is a Pediatrics in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susquehanna Physician Services is 1760414874. The last update date is 2010-05-20.
Susquehanna Physician Services's current location address is 904 Campbell St, Williamsport, Pennsylvania. You can contact this provider via phone number 5703213110 and fax number 5703213114. The mailing address for Susquehanna Physician Services is 904 Campbell St, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Physician Services |
|---|---|
| Address | 904 Campbell St, Williamsport, Pennsylvania |
| Phone Number | 5703213110 |
| Fax Number | 5703213114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Santangelo Charles |
| Telephone Number | 5703213171 |
NPI Number Detail
| NPI Number | 1760414874 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2010-05-20 |
Provider Mailing Address Detail
| Address | 904 Campbell St |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177013166 |
| Phone Number | 5703213110 |
| Fax Number | 5703213114 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 880783 | PA | HIGHMARK BLUE SHIELD | |
| 17300760195 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susquehanna Physician Services by the Centers for Medicare & Medicaid Services?
The Susquehanna Physician Services has been issued the NPI (National Provider Identifier) 1760414874. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Susquehanna Physician Services's facilities are geographically located?
The facilities of Susquehanna Physician Services are physically situated at the following location: 904 Campbell St, Williamsport, PA, 177013166.
On what date did Susquehanna Physician Services receive its 1760414874 assignment from the Centers for Medicare & Medicaid Services?
The Susquehanna Physician Services was assigned its 1760414874 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Susquehanna Physician Services most recently updated or refreshed?
The details pertaining to the Susquehanna Physician Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-20.
As of what date was the information regarding Susquehanna Physician Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susquehanna Physician Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-05-20.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA