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Individual

ALLAN HENRY TISSENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 PLAZA DRIVE, SUITE 400, BELLE VERNON, PA 15012
(724) 379-5816
(724) 379-5874
Mailing address
800 PLAZA DR STE 400, ROSTRAVER TWP, PA 15012-4019
(724) 379-5802

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD051744L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016061820003
PA
Enumeration date
08/01/2005
Last updated
11/02/2021
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