Individual
DR. NICHOLAS TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5435
Mailing address
2424 REGATTA CIRCLE, NORRISTOWN, PA 19401
(858) 344-7208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD463310
PA
Other
Enumeration date
06/18/2015
Last updated
11/05/2024
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