Individual
DR. JOHN TIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MADISON AVE STE 360, MORRISTOWN, NJ 07960-7390
(973) 971-7830
(973) 267-5060
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101052990
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
25MA11722800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010321034
—
VA
Enumeration date
10/02/2006
Last updated
11/03/2023
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