DR. AVIAN TISDALE, MD

Pediatrics

Active Individual
NPI: 1740297076

Practice Address

1925 PACIFIC AVE.
Atlantic City, NJ 08401

Phone: (609) 441-8087

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No 25MA08575900 (NJ)
Hospitalist 208M00000X No 25MA08575900 (NJ)
Pediatrics 208000000X Yes R7343 (TX)

Frequently Asked Questions

NPI 1740297076 is the National Provider Identifier for DR. AVIAN TISDALE, MD, a Pediatrics provider located in Atlantic City, NJ. This NPI was enumerated on August 1, 2006.
DR. AVIAN TISDALE, MD practices at 1925 PACIFIC AVE., Atlantic City, NJ 08401.

Quick Facts

NPI
1740297076
Type
Individual
Enumerated
Aug 1, 2006
Last Updated
Mar 18, 2021

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