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Individual

CATHERINE MARIE TISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 MONTOUR RD, LOYSVILLE, PA 17047-9200
(717) 789-3533
(717) 789-3198
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA064624
PA
363A00000X
Physician Assistant
Primary
OA006523
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1042068390007
PA
01
7C8679
MEDICARE
PA
Enumeration date
06/02/2023
Last updated
12/05/2025
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