Provider First Line Business Practice Location Address:
UPMC SUSQUEHANNA ,625 WEST EDWIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLIAMSPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-326-0565
Provider Business Practice Location Address Fax Number:
570-326-7582
Provider Enumeration Date:
09/13/2019