NPI 1619948288
Tioga Healthcare Providers Inc-6
Practice location
- Address
- 1 Main St, Wellsboro, PA 16901-1601
- Phone
- (570) 723-0716
- Fax
- (570) 723-0638
- Mailing address
- PO Box 191, Wellsboro, PA 16901-0191
Authorised official
- Name
- Bradley Mudge
- Title
- Physician
- Phone
- (570) 723-0716
Registered specialties
Surgery Physician
Primary
Registry record
- NPI
- 1619948288
- Entity type
- Organization
- NPI issued
- 31 Jan 2006
- Record last updated
- 8 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.