Organization · Type 2 NPI

Susquehanna Physician Services

Vascular Surgery Physician · Williamsport, PA

NPI number 1962446971 Active

Practice location

740 High St, Suite 3001
Williamsport, PA 17701-3102

Call (570) 321-2805 Map

Fax (570) 321-2806

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician	2085R0202X	None listed
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

48 other providers at this address

NPI record

NPI: 1962446971
Entity type: Organization (Type 2)
Issued: Jun 16, 2006
Last updated: Sep 23, 2022
Status: Active

Other names

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Susquehanna Health Medical Group · doing business as
Susquehanna Health Medical Group · doing business as

Authorized official

Ms. Melissa Davis
VP/coo
(570) 320-7696

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962446971

Susquehanna Physician Services's National Provider Identifier is 1962446971, issued on Jun 16, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Williamsport, PA. The record was last updated on Sep 23, 2022.