MEDICARE: MR. EDWARD R. HESS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD017279E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043219280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWARD R. HESS MD

Provider Business Mailing Address
First Line	:	1 MAIN ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1601
Country	:	US
Telephone Number	:	570-723-0716
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAIN ST
Second Line	:
City	:	WELLSBORO
State	:	PA
Zip	:	16901-1601
Country	:	US
Telephone Number	:	570-723-0716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	04/21/2015

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Directions to “ MR. EDWARD R. HESS MD” Practice Location

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