Individual
TYLER JENNINGS ALVARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9550 LIVINGSTON RD STE 102, FORT WASHINGTON, MD 20744-4975
(240) 253-6312
Mailing address
606 MARINA LANDING LN, WOODBRIDGE, VA 22191-5489
(267) 885-4712
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110-005442
VA
363AM0700X
Medical Physician Assistant
Primary
C0009216
MD
Other
Enumeration date
07/13/2016
Last updated
02/24/2025
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