| Susquehanna Medical Associates | |
|
115 Farley Cir Suite 107 Lewisburg PA 17837-9252 | |
| (570) 523-6770 | |
| (570) 523-6773 |
| Full Name | Susquehanna Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Farley Cir, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | John F Devine (PRESIDENT) |
| Authorized Official Contact | 5705236770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Medical Associates 115 Farley Cir Suite 107 Lewisburg PA 17837-9252 Ph: (570) 523-6770 | Susquehanna Medical Associates 115 Farley Cir Suite 107 Lewisburg PA 17837-9252 Ph: (570) 523-6770 |
| NPI Number | 1255476065 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255476065 | NPI | - | NPPES |
| 0015619840012 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS008931L (Pennsylvania) | Primary |
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