MEDICARE: SUZANNE P MURDZA M-ED

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
1	237600000X	Audiologist-Hearing Aid Fitter	AT000279L	PA

General Provider Information

NPI Number	:	1689806127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE P MURDZA M-ED

Provider Business Mailing Address
First Line	:	80 MEDICAL PARK DRIVE
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9387
Country	:	US
Telephone Number	:	570-523-1163
Fax Number	:	570-524-5737

Provider Business Practice Location Address
First Line	:	80 MEDICAL PARK DRIVE
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9387
Country	:	US
Telephone Number	:	570-523-1163
Fax Number	:	570-524-5737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	08/18/2009

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