Individual
TIFFANY BUCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058394
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
10/31/2014
Last updated
02/18/2026
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