Search › Pennsylvania › 213E00000X
Vincent Tisa, D.P.M
NPI 1851331391 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2401 S Broad St
Philadelphia, PA 19148 - Phone
- (215) 389-7774
- Fax
- (215) 389-0443
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-20
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