Individual
DR. RYAN TIMOTHY TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
NORTH BROAD STREET AND MONTGOMERY AVE, PHILADELPHIA, PA 19122
(215) 204-4001
Mailing address
3 PALMER DR, MIDDLETOWN, DE 19709-9371
(302) 465-6836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001689B
PA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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