Free National NPI Number Registry

Philip A Tisdall

Home > Philip A Tisdall

 

NPI Number Detailed Information

Provider Information:

Name: Philip A Tisdall
Gender: M
Provider License Number If Given: 7703

NPI Information:

NPI: 1578566774
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 6/3/2008

Provider Business Mailing Address:

Address: PO BOX 100519
Atlanta, GA 30384
Phone Number: 8882086228
Fax Number: 6037781602

Provider Business Practice Location Address:

Address: 1 HAMPTON RD UNIT 208
Exeter, NH 03833
Phone Number: 6037788522
Fax Number: 6037781602

Provider Taxonomy:

Primary: 207ZP0102X
Secondary (if any): 207ZP0102X
State: NH