Individual
DR. JAMES L. TWEEDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
724 W PORTER ST, PHILADELPHIA, PA 19148-3841
(215) 334-6762
Mailing address
724 W PORTER ST, PHILADELPHIA, PA 19148-3841
(215) 334-6762
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS008911L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01648115
—
PA
Enumeration date
03/28/2006
Last updated
07/23/2010
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