| South Side Family Medicine | |
|
699 Hastings St South Williamsport PA 17702-7606 | |
| (570) 327-1335 | |
| (570) 321-7800 |
| Full Name | South Side Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 699 Hastings St, South Williamsport, Pennsylvania |
| Authorized Official Name and Position | James S Baldys (MD) |
| Authorized Official Contact | 5703271335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Side Family Medicine 699 Hastings St South Williamsport PA 17702-7606 Ph: (570) 327-1335 | South Side Family Medicine 699 Hastings St South Williamsport PA 17702-7606 Ph: (570) 327-1335 |
| NPI Number | 1417137472 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417137472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD034300E (Pennsylvania) | Primary |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Shaffer St, South Williamsport, PA 17702 Phone: 570-326-2447 Fax: 570-326-1247 |