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110 Plaza Ln Wellsboro PA 16901-1773 | |
(570) 724-4241 | |
(570) 724-5510 |
Full Name | |
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Speciality | Family Medicine |
Location | 110 Plaza Ln, Wellsboro, Pennsylvania |
Authorized Official Name and Position | Joseph A. Scopelliti (PRESIDENT) |
Authorized Official Contact | 5708885858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Guthrie Sq Sayre PA 18840-1625 Ph: (570) 888-5858 | 110 Plaza Ln Wellsboro PA 16901-1773 Ph: (570) 724-4241 |
NPI Number | 1952350167 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 02/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952350167 | NPI | - | NPPES |
GU616101 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
North Country Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Meade St, Wellsboro, PA 16901 Phone: 570-724-3744 Fax: 570-724-2459 | |