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Individual

CONNOR TRYGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2775 SCHOENERSVILLE RD FL 1, BETHLEHEM, PA 18017-7307
(610) 402-8900
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 629-2282

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
25MP00390300
NJ
363AS0400X
Surgical Physician Assistant
Primary
MA059705
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA059705
STATE LICENSE
PA
Enumeration date
08/17/2016
Last updated
05/05/2022
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