Provider Demographics
NPI:1780609701
Name:GREB, SUZANNE (DO)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:GREB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:ONE HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9315
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:7095 WESTBRANCH HWY STE 1100
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6864
Practice Address - Country:US
Practice Address - Phone:570-524-5050
Practice Address - Fax:570-524-5250
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008143L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232809429OtherTRICARE
PA50041617OtherBLUE CROSS
PA8462C3AHOtherGEISINGER
PA118438700OtherDEPARTMENT OF LABOR
PA0323100OtherKEYSTONE
PA36011OtherBLUE SHIELD
PAC900OtherHEALTH AMERICA
PA118438700OtherDEPARTMENT OF LABOR
PA8462C3AHOtherGEISINGER