Individual
AMY TOMALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WINTER RD, HOLLAND, PA 18966-2751
(215) 394-5104
Mailing address
15 VASE LN, LEVITTOWN, PA 19054-1203
(609) 847-0117
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46TA09029200
NJ
171W00000X
Contractor
OP007770
PA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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