Organization · Type 2 NPI

Susquehanna Physician Services

Plastic Surgery Physician · Williamsport, PA

NPI number 1619996733 Active

Practice location

1201 Grampian Blvd, Suite 1B
Williamsport, PA 17701-1900

Fax (570) 320-7571

Mailing address

1205 Grampian Blvd, PO Box 3127
Williamsport, PA 17701-1978

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed
Plastic and Reconstructive Surgery Physician 2086S0122XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1619996733

Susquehanna Physician Services's National Provider Identifier is 1619996733, issued on Jul 19, 2006. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Williamsport, PA. The record was last updated on Oct 18, 2007.