Individual
ALLEN E TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2494 BERNVILLE ROAD, STE. G01, READING, PA 19605
(610) 378-2779
(610) 378-2778
Mailing address
2500 BERNVILLE RD, READING, PA 19605-9453
(610) 378-2779
(610) 378-2778
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD024475E
PA
2084N0600X
Clinical Neurophysiology Physician
MD204475E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000948890
—
PA
01
—
0055804000
AMERIHEALTH 65 PA
PA
01
—
069575
HIGHMARK BLUE SHIELD
PA
01
—
100491
GEISINGER
PA
01
—
104876
JOHNS HOPKINS
PA
01
—
4456695
AETNA
PA
01
—
614027
CAREFIRST MD BCBS
MD
Enumeration date
07/03/2006
Last updated
08/07/2013
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