# TIOGA HEALTH CARE PROVIDERS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Susquehanna Health Ob and Gyn at Soldiers and Sailors Mem Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043281603
- **Authorized official:** RONALD M GILBERT JR. (CFO)
- **Authorized official phone:** (570) 723-0600

## Contact information

- **Practice address:** 15 MEADE ST, SUITE L1, WELLSBORO, PA 16901-1813
- **Practice address phone:** (570) 723-0637
- **Practice address fax:** (570) 723-0638
- **Mailing address:** 22 WALNUT ST, WELLSBORO, PA 16901-1526
- **Mailing address phone:** (570) 723-0600
- **Mailing address fax:** (570) 724-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 04/01/2015
