MEDICARE: PAUL V TIROTTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP034892L	PA

General Provider Information

NPI Number	:	1033083076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL V TIROTTO

Provider Business Mailing Address
First Line	:	326 NEWTON CT
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08107-1073
Country	:	US
Telephone Number	:	215-551-9485
Fax Number	:	215-468-7189

Provider Business Practice Location Address
First Line	:	2745 MCKEAN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-2513
Country	:	US
Telephone Number	:	267-317-5898
Fax Number	:	215-334-4784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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Directions to “ PAUL V TIROTTO ” Practice Location

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