Individual
SANGEETA K TYERECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-1185
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2581
(215) 214-4038
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MA06558000
NJ
2085R0001X
Radiation Oncology Physician
Primary
MD062026L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01675009
—
PA
05
—
7345801
—
NJ
Enumeration date
06/22/2005
Last updated
06/06/2018
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