Individual
ALEXIS SOMME TINGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6156
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-6156
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD457824
PA
208600000X
Surgery Physician
MT197462
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT197462
PA
Other
Enumeration date
05/14/2010
Last updated
11/11/2022
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