Organization
TIOGA HEALTH CARE PROVIDERS, INC
Active
Other names
Susquehanna Health Emergency Svcs at Soldiers and Sailors Mem Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD M GILBERT JR (CFO)
(570) 723-0600
Entity
Organization
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-0100
Mailing address
22 WALNUT ST, WELLSBORO, PA 16901-1526
(570) 723-0600
(570) 724-2126
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/26/2013
Last updated
03/31/2015
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