person
Dr. Herbert Tisnower, MD
General Practice Physician in Philadelphia, Pennsylvania
NPI 1831195619

Herbert Tisnower is a General Practice Physician based in Philadelphia, PA. Herbert Tisnower practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Herbert Tisnower is 1831195619 and holds a License No. MD028686E (Pennsylvania).

The current practice location address for Herbert Tisnower is 1837 S 65Th St, Philadelphia, PA and can be reached out via phone at 215-726-0181 and via fax at 215-726-5110.

Location: 1837 S 65Th St, Philadelphia, PA, 19142-1423
person
Provider Profile Details
NPI Number
1831195619
Provider Name
Herbert Tisnower
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1837 S 65Th St, Philadelphia, PA, 19142-1423
Phone Number
215-726-0181
Fax Number
215-726-5110
Provider Enumeration Date
06/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0009887700002 05 PA
0035661000 01 PA PERSONAL CHOICE PPO OF PENNSYLVANIA (INDEPENDENT BLC)
0035661000 01 PA IBC PERSONAL CHOICE
232626909 01 PA TRICARE PALMETTO (REGIONS 1-6)
232626909 01 PA TRICARE FOR LIFE
080019943 01 PA RAILROAD MEDICARE
0035661001 01 PA PENNSYLVANIA KEYSTONE HEALTH PLAN EAST
1831195619 01 PA KEYSTONE FIRST
institution
Provider Business Practice Location Address Details
Address
1837 S 65Th St
City
State
Zip
19142-1423
Phone Number
215-726-0181
Fax Number
215-726-5110
person
Provider Business Mailing Address Details
Address
1837 S 65Th St
City
State
Zip
19142-1423
Phone Number
215-726-0181
Fax Number
215-726-5110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD028686E (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD028686E (Pennsylvania)
Definition
Definition to come...
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