| Tyson Family Medical P.c. | |
|
2831 Tyson Ave Philadelphia PA 19149-1415 | |
| (267) 350-5575 | |
| (215) 624-0874 |
| Full Name | Tyson Family Medical P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2831 Tyson Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | David M Pudles (OWNER) |
| Authorized Official Contact | 2673505575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Family Medical P.c. 2831 Tyson Ave Philadelphia PA 19149-1415 Ph: (267) 350-5575 | Tyson Family Medical P.c. 2831 Tyson Ave Philadelphia PA 19149-1415 Ph: (267) 350-5575 |
| NPI Number | 1740206226 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740206226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005343-L (Pennsylvania) | Primary |
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