Tioga Healthcare Providers Inc-6

NPI #1619948288 in Wellsboro, Pennsylvania

Provider Information

NPI Number: 1619948288
Entity Type: Organization
Organization Name: Tioga Healthcare Providers Inc-6
Subpart: Yes (part of a larger organization)
Parent Organization: LAUREL HEALTH SYSTEMS
Primary Specialty: Surgery
Enumeration Date: Jan 31, 2006
Last Updated: Jan 8, 2008

Practice Location

Address: 1 MAIN ST
City: Wellsboro
State: Pennsylvania
ZIP Code: 16901-1601
Phone: (570) 723-0716

Authorized Official

Name: BRADLEY MUDGE, DO
Title: PHYSICIAN
Phone: (570) 723-0716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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