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Individual

DR. ROBERT CHRISTOPHER TYRRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

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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