Unknown Individual – Surgery Physician, NPI 1932109873
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1 OUTLET LN STE 400
LOCK HAVEN, PA 177457814
Phone: (570) 769-1300
Fax: (570) 769-1301
Type: Location
1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177011900
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17745)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| - | PA | |
| Vascular Surgery | NY | |
| Cardiovascular Disease (Cardiology) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Emergency Medicine | PA |
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