Organization
GEORGE C TSOUTSOPLIDES MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE C TSOUTSOPLIDES MD (OWNER)
(570) 287-5900
Entity
Organization
Contact information
Practice address
534 WYOMING AVE, KINGSTON, PA 18704-3742
(570) 287-5900
(570) 287-6610
Mailing address
534 WYOMING AVE, KINGSTON, PA 18704-3742
(570) 287-5900
(570) 287-6610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006115260001
—
PA
01
—
072228
FIRST PRIORITY
—
01
—
16152
GEISINGER
—
01
—
507319
AETNA
—
01
—
74434
UNISON
—
01
—
TS138502
BCBS
—
Enumeration date
03/17/2008
Last updated
03/17/2008
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