Individual
THOMAS HOWARD GULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 E BROWN ST, SUITE 204, EAST STROUDSBURG, PA 18301-3098
(570) 424-7390
(570) 424-7395
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER, EAST STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD014274E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076420
FIRST PRIORITY HLTH
PA
01
—
340012004
RAILROAD MEDICARE
PA
01
—
814179
AETNA
PA
Enumeration date
06/23/2006
Last updated
10/27/2014
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