Individual
PATRICK TITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 LOWER HOLLAND RD, SOUTHAMPTON, PA 18966-1641
(267) 632-4142
Mailing address
176 LOWER HOLLAND RD, SOUTHAMPTON, PA 18966-1641
(267) 632-4142
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
22316901
PA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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