Individual
LUIGI TIRRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WESTFIELD AVE, ELIZABETH, NJ 07208-1621
(908) 691-3800
Mailing address
778 PELTON AVE, STATEN ISLAND, NY 10310-3142
(917) 974-0827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00484500
NJ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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