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Individual

GERARD J HILDEBRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
304 W TIOGA ST, TUNKHANNOCK, PA 18657
(570) 836-2224
(570) 836-1125
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503
(570) 342-3145
(570) 344-1309

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000969
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001622963
PA
01
081368
FIRST PRIORITY HEALTH
01
15517
GEISINGER
01
410032233
RAILROAD MEDICARE
01
506554
AETNA
01
H1024926
HIGH MARK BLUE SHIELD
Enumeration date
08/13/2006
Last updated
10/08/2019
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