Individual
BRIA MARIE TINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 THIRD AVE, JESSUP, PA 18434-1415
(570) 383-7922
(570) 383-5450
Mailing address
307 THIRD AVE., JESSUP, PA 18434
(570) 383-7922
(570) 383-5450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD429420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344267
—
PA
Enumeration date
07/06/2006
Last updated
02/03/2011
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