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1851331391
VINCENT N TISA
PHILADELPHIA, PA
NPI
1851331391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: PA SC001399L)
Enumeration Date
2006-06-06
Last Update Date
2016-04-20
Business Address
Dr. VINCENT N TISA D.P.M.
2401 S BROAD ST
PHILADELPHIA, PA 19148-3508
Phone number: 215-389-7774
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Mailing Address
Dr. VINCENT N TISA D.P.M.
2401 S BROAD ST
PHILADELPHIA, PA 19148-3508
Phone number: 215-389-7774
Copy
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