| NPI | 1043863954 |
|---|---|
| Doing Business As | TILLMAN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RONALD KUMOR CEO 215-612-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2022-10-12 |