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SUSQUEHANNA PHYSICIAN SERVICES NPI 1417091794


NPI Information

NPI: 1417091794
Provider Name: SUSQUEHANNA PHYSICIAN SERVICES

Other Name: SUSQUEHANNA CENTER FOR LIVER DISEASE

Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

Address:
471 HEPBURN ST
SUITE 135
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 567-5425
Get Directions

SUSQUEHANNA PHYSICIAN SERVICES is a hepatology internal medicine in Williamsport, PA. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1417091794. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Susquehanna Center For Liver Disease.

The provider's business location address is:

471 HEPBURN ST
SUITE 135
WILLIAMSPORT, PA
ZIP 17701-122
Phone: (570) 567-5425
Fax: (570) 567-5426

The provider's authorized official is Charles Santangelo .
The authorized official title is Executive Vp/ Cfo and has the following contact phone number (570) 321-3171.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 10/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0008XInternal MedicineHepatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1074279MEDICARE PINPENNSYLVANIA
21515700OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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