Individual
MR. MICHAEL TYRRELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 MANHASSET TRL, MEDFORD LAKES, NJ 08055-1133
(609) 442-8411
Mailing address
114 MANHASSET TRL, MEDFORD LAKES, NJ 08055-1133
(609) 442-8411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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