Individual
KATHERINE TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2658
Mailing address
100 E. LANCASTER AVENUE, MOB SOUTH 422, WYNNEWOOD, PA 19096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT220255
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
12/10/2024
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