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Individual

THOMAS ALLEN TYMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 LAKE DR, STE 109, WEXFORD, PA 15090-8405
(724) 935-0400
(724) 935-5558
Mailing address
150 LAKE DR, STE 109, WEXFORD, PA 15090-8405
(724) 935-0400
(724) 935-5558

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD049451L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15066500102
PA
01
488397
BLUE SHIELD
PA
01
660001299
RAILROAD MEDICARE
Enumeration date
07/11/2005
Last updated
05/14/2008
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