Individual
MICHAEL WILLIAM TIEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1901 JFK BLVD, APT 1903, PHILADELPHIA, PA 19103-1502
(570) 620-6512
Mailing address
843 BRIGHTON PL, OCEAN CITY, NJ 08226-3951
(609) 391-0706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS002902L
PA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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