Healthcare Provider Details

I. General information

NPI: 1841290772
Provider Name (Legal Business Name): STEVEN JOSEPH GREGORITCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 W 3RD ST
OIL CITY PA
16301-3160
US

IV. Provider business mailing address

527 W 3RD ST
OIL CITY PA
16301-3160
US

V. Phone/Fax

Practice location:
  • Phone: 814-738-4541
  • Fax:
Mailing address:
  • Phone: 814-738-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number171770
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35.152097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: