Search › Pennsylvania › 225X00000X
Tanya Park
NPI 1316298474 · on the registry since 2012
Practice
- Address
- 5204 Ridge Ave
Apt 2
Philadelphia, PA 19128 - Phone
- (610) 349-6405
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania