Organization
TIOGA HEALTH CARE PROVIDERS, INC
Active
Parent organization
SUSQUEHANA HEALTH SYSTEM
Other names
Susquehanna Health Urology at Soldiers and Sailors Mem Hospital
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
15 MEADE ST, SUITE U3, WELLSBORO, PA 16901-1813
(570) 724-3636
(570) 724-3326
Mailing address
22 WALNUT ST, WELLSBORO, PA 16901-1526
(570) 723-0600
(570) 724-2126
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
04/01/2015
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