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Individual
DR. HERBERT TISNOWER
Active
Individual
DR. HERBERT TISNOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD028686E
PA
208D00000X
General Practice Physician
Primary
MD028686E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009887700002
—
PA
01
—
0035661000
PERSONAL CHOICE PPO OF PENNSYLVANIA (INDEPENDENT BLC)
PA
01
—
0035661001
PENNSYLVANIA KEYSTONE HEALTH PLAN EAST
PA
01
—
080019943
RAILROAD MEDICARE
PA
01
—
1831195619
KEYSTONE FIRST
PA
01
—
232626909
TRICARE PALMETTO (REGIONS 1-6)
PA
Enumeration date
06/25/2005
Last updated
09/09/2022
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