Southern Tier Surgical Pllc
NPI #1316296205 in Johnson City, New York
Provider Information
- NPI Number
- 1316296205
- Entity Type
- Organization
- Organization Name
- Southern Tier Surgical Pllc
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 6, 2012
- Last Updated
- Feb 11, 2013
Practice Location
- Address
- 30 HARRISON STREET
- Address 2
- SUITE 320
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-2162
- Phone
- (607) 763-8205
Authorized Official
- Name
- CHRISTIAN TVETENSTRAND, M.D.
- Title
- SURGEON
- Phone
- (607) 763-8205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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