Susquehanna Physician Services in Williamsport - Neurology
Susquehanna Physician Services - NPI 1629006606
Susquehanna Physician Services is a Neurology in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Neurology. The NPI Number for Susquehanna Physician Services is 1629006606. The last update date is 2015-10-20.
Susquehanna Physician Services's current location address is 700 High Street, Williamsport, Pennsylvania. You can contact this provider via phone number 5703212619 and fax number 5703212670. The mailing address for Susquehanna Physician Services is 700 High Street, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Susquehanna Physician Services |
---|---|
Address | 700 High Street, Williamsport, Pennsylvania |
Phone Number | 5703212619 |
Fax Number | 5703212670 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VP/COO |
---|---|
Authorized Official Name | Davis Melissa |
Telephone Number | 5703207696 |
NPI Number Detail
NPI Number | 1629006606 |
---|---|
Provider Enumeration Date | 2006-06-29 |
Last Updated Date | 2015-10-20 |
Provider Mailing Address Detail
Address | 700 High Street |
---|---|
City | Williamsport |
State | Pennsylvania (PA) |
Post Code | 1770131980 |
Phone Number | 5703212619 |
Fax Number | 5703212670 |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
---|---|
Taxonomy | 2084N0400X |
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
784867 | PA | HIGHMARK BLUE SHIELD | |
17300760184 | PA | -- |
Post Comment/ Review Below
Can you provide the Susquehanna Physician Services's physical address?
The Susquehanna Physician Services is physically located at 700 High Street, in the city of Williamsport, PA, with the postal code 1770131980.
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: 700 High Street, Williamsport, PA, 1770131980.
On what date did the Susquehanna Physician Services receive its 1629006606 assignment from the Centers for Medicare & Medicaid Services?
The Susquehanna Physician Services was assigned its 1629006606 by the Centers for Medicare & Medicaid Services on 2006-06-29.
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 2015-10-20.
As of what date were the details related to Susquehanna Physician Services most recently updated or revised?
The information pertaining to Susquehanna Physician Services, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-20.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH