| Susquehanna Valley Medical Specialties | |
|
6850 Lows Rd Bloomsburg PA 17815-8729 | |
| (570) 784-7300 | |
| (570) 784-7331 |
| Full Name | Susquehanna Valley Medical Specialties |
|---|---|
| Speciality | Family Medicine |
| Location | 6850 Lows Rd, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Mark S Williams (PRESIDENT) |
| Authorized Official Contact | 5707847300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Valley Medical Specialties 6850 Lows Rd Bloomsburg PA 17815-8729 Ph: (570) 784-7300 | Susquehanna Valley Medical Specialties 6850 Lows Rd Bloomsburg PA 17815-8729 Ph: (570) 784-7300 |
| NPI Number | 1407873045 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407873045 | NPI | - | NPPES |
| 0016824700001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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