Individual
MRS. MARY JANE TANTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 214, MEADOWBROOK, PA 19046-8004
(215) 938-8400
Mailing address
3860 TERWOOD DR, DOYLESTOWN, PA 18901-5602
(215) 345-4286
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000163L
PA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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