Individual
MR. MICHAEL JOHN TOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
300 W. BALTIMORE AVE., MEDIA, PA 19063
(855) 687-2410
(855) 687-2410
Mailing address
206 S. ORANGE ST., STE. 5, MEDIA, PA 19063
(855) 687-2410
(855) 687-2410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163W00000X
Registered Nurse
Primary
RN580483
PA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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