| Dr Avian L Tisdale, MD | |
|
1925 Pacific Ave., Atlantic City, NJ 08401-6713 | |
| (609) 441-8087 | |
| (302) 651-4945 |
| Full Name | Dr Avian L Tisdale |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1925 Pacific Ave., Atlantic City, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740297076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA08575900 (New Jersey) | Secondary |
| 208M00000X | Hospitalist | 25MA08575900 (New Jersey) | Secondary |
| 208000000X | Pediatrics | R7343 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Avian L Tisdale, MD P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Dr Avian L Tisdale, MD 1925 Pacific Ave., Atlantic City, NJ 08401-6713 Ph: (609) 441-8087 |
Dr. Cheryl A Kuponiyi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4127 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-601-6366 | |
Sue A. Mah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Alonso E. Concha Leon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Atlantic City, NJ 08401 Phone: 609-345-4000 Fax: 609-572-8523 | |
Dr. Rolando Q. Mallari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Pacific Ave, Chop Care Network At Atlanticare - Atlantic City, Atlantic City, NJ 08401 Phone: 609-345-4000 | |
Peggy A Solomon-bergen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-0000 Fax: 609-572-0039 | |
Dr. Edwin Lopez-bernard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-8686 Fax: 609-572-6033 |