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Individual

DR. PHILIP C GUTHERZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 MAPLE AVE, HONESDALE, PA 18431-1410
(570) 253-7150
(570) 253-7152
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-6846

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MD038651E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011041080002
PA
01
001332
FIRST PRIORITY HEALTH
PA
01
10883
GEISINGER HEALTH PLAN
PA
01
435715
BLUE CROSS
PA
Enumeration date
07/07/2005
Last updated
03/28/2017
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