NPI 1013118389

Susquehanna Physician Services

Organisation Allergy & Immunology Physician Williamsport, PA

Practice location

Address: 1705 Warren Ave Suite 201, Williamsport, PA 17701-2664
Phone: (570) 320-7645
Fax: (570) 320-7646
Mailing address: 1201 Grampian Blvd PO Box 3127, Williamsport, PA 17701-0127

Authorised official

Name: Charles Santangelo
Title: Executive Vp and Cfo
Phone: (570) 321-3171

Registered specialties (3)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Pennsylvania →

Pediatric Allergy/Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0201X

Other Pediatrics providers in Pennsylvania →

Pediatric Pulmonology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0214X

Registry record

NPI: 1013118389
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 20 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.