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Tioga Health Care Providers 12

Urology in Wellsboro, PA. Organization (NPI-2).

NPI number1881900587
StatusActive
Last updated in NPPESFeb 28, 2013

Details

NPI
1881900587
Entity type
Organization (NPI-2)
Legal business name
Tioga Health Care Providers 12
Organization subpart
Yes
Enumeration date
Aug 19, 2010
Last updated
Feb 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • Tyoga Urological Associates (Doing Business As)

Practice location

15 Meade St
Suite U3
Wellsboro, PA 16901-1813

Phone 570-724-3636 · Fax 570-724-3326

Mailing address

15 Meade St
Suite U3
Wellsboro, PA 16901-1813

Phone 570-724-3636 · Fax 570-724-3326

Authorized official

Edward L Bellinger
Physician
5707243636

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