Individual
GREGORY TINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 662-3202
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD039859E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011376910001
—
PA
Enumeration date
07/07/2006
Last updated
04/29/2011
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