Organization
TIOGA HEALTH CARE PROVIDERS, INC
Active
Other names
Susquehanna Health Ob and Gyn 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
15 MEADE ST, SUITE L1, WELLSBORO, PA 16901-1813
(570) 723-0637
(570) 723-0638
Mailing address
22 WALNUT ST, WELLSBORO, PA 16901-1526
(570) 723-0600
(570) 724-2126
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181976
HIGHMARK BS
—
01
—
160059077
TRAVELERS MEDICARE
PA
Enumeration date
01/31/2006
Last updated
04/01/2015
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