Tioga Health Care Providers 12

NPI #1881900587 in Wellsboro, Pennsylvania

Provider Information

NPI Number: 1881900587
Entity Type: Organization
Organization Name: Tioga Health Care Providers 12
Subpart: Yes (part of a larger organization)
Parent Organization: LAUREL HEALTH SYSTEM
Primary Specialty: Urology
Enumeration Date: Aug 19, 2010
Last Updated: Feb 28, 2013

Practice Location

Address: 15 MEADE ST
Address 2: SUITE U3
City: Wellsboro
State: Pennsylvania
ZIP Code: 16901-1813
Phone: (570) 724-3636

Authorized Official

Name: EDWARD L BELLINGER, MD
Title: PHYSICIAN
Phone: (570) 724-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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