Organization
WALTER T. TILLMAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER T. TILLMAN III B.C.O. (PRESIDENT/OWNER)
(412) 283-4961
Entity
Organization
Contact information
Practice address
2414 LYTLE RD STE 202, BETHEL PARK, PA 15102-2755
(412) 283-4961
(412) 283-4962
Mailing address
2414 LYTLE RD, SUITE 202 HIRAS PROFESSIONAL BUILDING, BETHEL PARK, PA 15102-2736
(412) 283-4961
(412) 283-4962
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013947050002
—
PA
01
—
1972513356
INDIVIDUAL NPI NUMBER
—
Enumeration date
01/17/2008
Last updated
09/19/2023
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