Susquehanna Physician Services in Williamsport - Pediatric Allergy/immunology
Susquehanna Physician Services - NPI 1013118389
Susquehanna Physician Services is a Pediatric Allergy/immunology in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Susquehanna Physician Services is 1013118389. The last update date is 2010-05-20.
Susquehanna Physician Services's current location address is 1705 Warren Ave, Williamsport, Pennsylvania. You can contact this provider via phone number 5703207645 and fax number 5703207646. The mailing address for Susquehanna Physician Services is 1705 Warren Ave, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Physician Services |
|---|---|
| Address | 1705 Warren Ave, Williamsport, Pennsylvania |
| Phone Number | 5703207645 |
| Fax Number | 5703207646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Santangelo Charles |
| Telephone Number | 5703213171 |
NPI Number Detail
| NPI Number | 1013118389 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2010-05-20 |
Provider Mailing Address Detail
| Address | 1705 Warren Ave |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177012664 |
| Phone Number | 5703207645 |
| Fax Number | 5703207646 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17300760193 | PA | -- | |
| 1966309 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1013118389 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Susquehanna Physician Services is geographically located?
The Susquehanna Physician Services is physically situated at the following location: 1705 Warren Ave, Williamsport, PA, 177012664.
What is Susquehanna Physician Services's area of expertise and its corresponding taxonomy classification?
The Susquehanna Physician Services's field of specialization is Pediatric Allergy/immunology, and it falls under the taxonomy code 2080P0201X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013118389 to Susquehanna Physician Services?
The Centers for Medicare & Medicaid Services originally issued the 1013118389 to Susquehanna Physician Services on 2007-05-31.
As of what date were the Susquehanna Physician Services's details last updated?
The information pertaining to the Susquehanna Physician Services, including its address, specialty, and other details, was most recently updated on 2010-05-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC