Individual
ETSEGENET F. TIZAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 WILLOWBROOK LANE, WEST CHESTER, PA 19382-5576
(610) 696-8900
(610) 696-3890
Mailing address
200 WILLOWBROOK LANE, SUITE 210, WEST CHESTER, PA 19382-5576
(610) 696-8900
(610) 696-3890
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
MD467286
PA
2084N0400X
Neurology Physician
Primary
C1-0024150
DE
2084N0400X
Neurology Physician
MD467286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922481746
ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
MI
Enumeration date
06/30/2015
Last updated
02/03/2026
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