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NPI Code Detail

MEDICARE: SUSQUEHANNA PHYSICIAN SERVICES

MEDICARE: SUSQUEHANNA PHYSICIAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1467453878
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUSQUEHANNA PHYSICIAN SERVICES
Provider Business Mailing Address
First Line : PO BOX 3127
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-0127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1112 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1909
Country : US
Telephone Number : 570-326-8355
Fax Number : 570-326-8358
Authorized Official
Title or Position : SENIOR VP OUT-PT SERVICES/GR PRAC
Name : MR. JAMES JOSEPH TURRI
Credential :
Telephone Number : 570-326-8102
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/06/2010

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Directions to “SUSQUEHANNA PHYSICIAN SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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