Susquehanna Ob-Gyn P A

LBN: Susquehanna Ob-Gyn P A
Susquehanna Ob-Gyn P A is an health care organization with primary practice located at 308 N Union Ave , Havre De Grace MD 21078-2825. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Susquehanna Ob-Gyn P A can be contacted via phone (410) 939-3121, or through Bellantoni, Jon Joseph via phone (443) 643-4300.

Contact Information

Primary practice address
308 N Union Ave Havre De Grace MD 21078-2825
Phone: (410) 939-3121
Fax: (410) 939-8278
Website:
Map and Directions
Authorized official contact:
Name: Bellantoni, Jon Joseph Doctor of Medicine (MD)
Phone: (443) 643-4300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0033079 Maryland

Profile Details

NPI number 1104818871
LBN Legal business name Susquehanna Ob-Gyn P A
DBA Doing business as
Authorized official Bellantoni, Jon Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104818871 NPPES
Maryland MEDICAID 232921200
Maryland Other KQ13

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