Organization
ST. MICHAEL'S SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J GITLIN MD (CLINICAL PSYCHIATRIST)
(570) 388-6155
Entity
Organization
Contact information
Practice address
HOBAN HEIGHTS, BOX 370, TUNKHANNOCK, PA 18657-0370
(570) 388-6155
(570) 388-6979
Mailing address
PO BOX 370, HOBAN HEIGHTS, TUNKHANNOCK, PA 18657-0370
(570) 388-6155
(570) 388-6979
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007624250003
—
PA
Enumeration date
05/13/2006
Last updated
08/22/2020
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