Individual
DR. ROBERT CHRISTOPHER TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2250 CHAPEL AVE W STE 130, CHERRY HILL, NJ 08002-2051
(856) 663-3733
(856) 663-3660
Mailing address
44 MELROSE AVE, HADDON TOWNSHIP, NJ 08108-2314
(856) 869-0202
(856) 869-8159
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00180000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000534136
HIGHMARK BLUE SHIELD PA
NJ
01
—
0114943000
AMERIHEALTH
NJ
01
—
0928309
AETNA
NJ
05
—
1189506
—
NJ
01
—
2232722520
HORIZON BLUE SHIELD NJ
NJ
01
—
441295
UNITED HEALTHCARE
NJ
01
—
E34136
AMERIHEALTH ADMINITRATORS
NJ
Enumeration date
07/17/2005
Last updated
08/11/2015
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