Organization
TIOGA HEALTH CARE PROVIDERS, INC
Active
Parent organization
SUSQUEHANA HEALTH SYSTEM
Other names
Susquehanna Health Orthopedics at Wellsboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSQUEHANA HEALTH SYSTEM
Authorized official
RONALD M GILBERT JR. (CFO)
(570) 723-0600
Entity
Organization
Contact information
Practice address
9 WATER ST, WELLSBORO, PA 16901-1117
(570) 724-2325
(570) 724-5855
Mailing address
22 WALNUT ST, WELLSBORO, PA 16901-1526
(570) 723-0600
(570) 724-2126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
04/01/2015
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