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Individual

SYDNEY L TYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
251 S LINCOLN AVE, VINELAND, NJ 08361-7802
(856) 691-8188
(856) 691-0421
Mailing address
251 S LINCOLN AVE, VINELAND, NJ 08361-7802
(856) 691-8188
(856) 691-0421

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05947000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5536201
NJ
Enumeration date
06/16/2006
Last updated
09/24/2008
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