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103 West Ave Wellsboro PA 16901-1358 | |
(570) 724-3744 | |
(570) 724-2459 |
Full Name | |
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Speciality | Internal Medicine |
Location | 103 West Ave, Wellsboro, Pennsylvania |
Authorized Official Name and Position | Ronald M Gilbert (CFO) |
Authorized Official Contact | 5707230600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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22 Walnut St Wellsboro PA 16901-1526 Ph: (570) 723-0600 | 103 West Ave Wellsboro PA 16901-1358 Ph: (570) 724-3744 |
NPI Number | 1063851194 |
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Provider Enumeration Date | 06/21/2013 |
Last Update Date | 04/01/2015 |
Identifier | Type | State | Issuer |
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1063851194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (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 | |