Individual
A SCOTT NIDITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 WEST AVE STE 201, WELLSBORO, PA 16901-1311
(570) 724-3636
Mailing address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD052180L
PA
Other
Enumeration date
08/17/2006
Last updated
04/06/2021
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