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Individual

TYLER MACCRONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT-BASIC

Contact information

Practice address
155 SEMINOLE AVE, NORWOOD, PA 19074-1128
(610) 764-4009
(610) 876-7068
Mailing address
155 SEMINOLE AVE, NORWOOD, PA 19074
(610) 764-4009
(610) 876-7068

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
109291
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109291
PA EMT #
PA
Enumeration date
03/02/2011
Last updated
03/02/2011
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