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Individual

STEPHEN CHRISTOPHER TONNESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 558-1975
Mailing address
100 HEMLOCK RD., 2639 GOLD KEY EST., MILFORD, PA 18337-9608
(570) 686-3235

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004314
NY

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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