Individual
JOHN M TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 WEST AVE, WELLSBORO, PA 16901-1336
(570) 724-7477
(570) 724-3046
Mailing address
58 WEST AVE, WELLSBORO, PA 16901-1336
(570) 724-7477
(570) 724-3046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021101E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007909280003
—
PA
Enumeration date
09/01/2006
Last updated
07/20/2007
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