Individual
DR. JOSE G TIONGSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 E RIDLEY AVE, RIDLEY PARK, PA 19078-3025
(610) 532-4233
(610) 522-9368
Mailing address
103 E RIDLEY AVE, RIDLEY PARK, PA 19078-3025
(610) 532-4233
(610) 522-9368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD034421L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881209
—
PA
Enumeration date
07/06/2006
Last updated
07/08/2007
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