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Eric D Tetzlaff, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1871676825

Eric D Tetzlaff is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Eric D Tetzlaff practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Eric D Tetzlaff is 1871676825 and holds a License No. (Pennsylvania).

The current practice location address for Eric D Tetzlaff is 333 Cottman Ave, Philadelphia, PA and can be reached out via phone at 215-728-4300.

Location: 333 Cottman Ave, Philadelphia, PA, 19111-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871676825
Provider Name
Eric D Tetzlaff
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
333 Cottman Ave, Philadelphia, PA, 19111-2434
Phone Number
215-728-4300
Fax Number
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N7975 01 TX BLUE CROSS BLUE SHIELD
P00272602 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
333 Cottman Ave
City
Philadelphia
State
Pennsylvania
Zip
19111-2434
Phone Number
215-728-4300
Fax Number
person
Provider Business Mailing Address Details
Address
333 Cottman Ave
City
Philadelphia
State
Pennsylvania
Zip
19111-2434
Phone Number
215-728-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Pennsylvania)
Definition
Definition to come...
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