| Sps-internal Med/pediatrics | |
|
904 Campbell St Williamsport PA 17701-3166 | |
| (570) 321-3110 | |
| (570) 321-3114 |
| Full Name | Sps-internal Med/pediatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 904 Campbell St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Charles Santangelo (EXECUTIVE VP/CFO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sps-internal Med/pediatrics 1201 Grampian Blvd Po Box 3127 Williamsport PA 17701-0127 Ph: () - | Sps-internal Med/pediatrics 904 Campbell St Williamsport PA 17701-3166 Ph: (570) 321-3110 |
| NPI Number | 1760414874 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760414874 | NPI | - | NPPES |
| 880783 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760195 | Medicaid | PA |
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