Individual
TYLER CODY HOLSAPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
284 MILLBURN AVE, MILLBURN, NJ 07041-1622
(973) 912-7273
Mailing address
284 MILLBURN AVE, MILLBURN, NJ 07041-1622
(973) 912-7273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA11366600
NJ
207P00000X
Emergency Medicine Physician
74990
WI
207Q00000X
Family Medicine Physician
Primary
25MA11366600
NJ
Other
Enumeration date
04/02/2018
Last updated
05/21/2025
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